MS. SHAUNE KIMBERLY MCKINNON (NPI# 1740828417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740828417 |
| Entity Type | Individual |
| Full Name | MS. SHAUNE KIMBERLY MCKINNON |
| Credential | NP |
| Practice Address |
160 Peregory Ln Charlottesville VA 22902-8720 |
| Mailing Address |
2198 Silk Wood Ct Charlottesville VA 22911-8395 |
| Practice Telephone | 4349776981 |
| Mailing Telephone | 8049865495 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0024178396 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
160 PEREGORY LN |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-8720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055011 | Thedra E Nichols | Nurse Practitioner | 160 Peregory Ln, Charlottesville, VA 22902-8720 | 2005-06-28 |
| 1780892885 | Lillian Juanita Morris | Nurse Practitioner | 160 Peregory Ln, Charlottesville, VA 22902-8720 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861810491 | Jordan H. Rosen | Psychiatry & Neurology | 1215 Lee Street, Barringer Wing Fl 3, Charlottesville, VA 22903-3363 | 2014-04-01 |
| 1801230974 | Kalia Ariana Ward | Psychiatry & Neurology | 637 Berkmar Circle, Charlottesville, VA 22901-1464 | 2013-04-19 |
| 1669716254 | Michael Lawrence Shepherd | Psychiatry & Neurology | 415 East Market St, Executive Suites Room 25, Charlottesville, VA 22902-5264 | 2012-11-20 |
| 1285958819 | Andrew J Chambers | Psychiatry & Neurology | 630 Peter Jefferson Pkwy Ste 130, Charlottesville, VA 22911-4624 | 2010-03-25 |
| 1558573501 | Mary Catherine Wimer | Psychiatry & Neurology | 1 Boars Head Ln, Charlottesville, VA 22903-4610 | 2007-05-03 |
| 1558480665 | Patricia J Grogan | Psychiatry & Neurology | 460 Peacock Dr, Charlottesville, VA 22903 | 2007-03-28 |
| 1912063884 | Daniel H Josephthal | Psychiatry & Neurology | 503 Faulconer Dr, #5a, Charlottesville, VA 22903 | 2006-12-28 |
| 1457425720 | Stephen Jacobs Mcnamara | Psychiatry & Neurology | 300 Preston Avenue, Suite 214, Charlottesville, VA 22902 | 2006-11-20 |
| 1104913797 | Charles D. Moseley IIi | Psychiatry & Neurology | 400 W High St, Charlottesville, VA 22902-4661 | 2006-10-06 |
| 1396757530 | Eugenia Ann Cornell | Psychiatry & Neurology | 918 9 1/2 St Ne, Charlottesville, VA 22902-5311 | 2006-08-13 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.