MRS. SHANNON ROSE ELLIS (NPI# 1750989356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750989356 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON ROSE ELLIS |
| Credential | RN, MSN, FNP-C |
| Practice Address |
1460 Fairway Oaks Dr Casselberry FL 32707-5140 |
| Practice Telephone | 4074132866 |
| Mailing Telephone | 4074132866 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11009709 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487165858 | Shannon Noel Ellis | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2017-10-12 |
| 1295706166 | Shannon Bolling Ellis | Preventive Medicine | 2600 Hwy 301s, Jesup, GA 31599-5641 | 2006-01-30 |
| 1841848678 | Shannon M Ellis | Physician Assistant | 125 Fox Hollow Rd Ste 210, Pinehurst, NC 28374-8593 | 2019-08-26 |
| 1033606116 | Shannon Ellis | Behavior Technician | 515 Palm Coast Pkwy Sw, Palm Coast, FL 32137-4739 | 2018-04-15 |
| 1710359849 | Shannon Ellis | Nurse Practitioner | 2235 Lake Heights Dr, Everett, WA 98208-6030 | 2015-10-28 |
| 1568867430 | Shannon M Ellis | Physical Therapy Assistant | 5775 Old Winder Hwy, Braselton, GA 30517-1603 | 2014-11-04 |
| 1245644632 | Shannon Ellis | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2014-06-13 |
| 1710322805 | Shannon Hope Ellis | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2013-05-03 |
| 1124219563 | Shannon Scott Ellis | Family Medicine | 26 W Jackson Commons Dr, Hoschton, GA 30548-1897 | 2007-08-08 |
| 1740483734 | Shannon B Ellis | Obstetrics & Gynecology | 800 Saint Vincents Dr, Suite 500, North Tower, Birmingham, AL 35205-1620 | 2007-06-07 |
| Street Address |
1460 FAIRWAY OAKS DR |
| City | CASSELBERRY |
| State | FL |
| Zip Code | 32707-5140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905024 | Kirsten Griffin | Durable Medical Equipment & Medical Supplies | 5021 S Us Highway 17/92, Casselberry, FL 32707 | 2018-06-13 |
| 1255878716 | Breaking Change Services | In Home Supportive Care | 260 S Cypress Way, Cassleberry, FL 32707 | 2017-01-23 |
| 1891240578 | Faye Gabrielle Burkett | Behavioral Analyst | 1140 Exceller Ct Apt 102, Casselberry, FL 32707 | 2016-08-23 |
| 1033576095 | Jamerson Lovett | Home Health Aide | 1154 Millrun Circle, Apopka, FL 32707 | 2016-01-21 |
| 1629460647 | Abby Lewis | Speech-Language Pathologist | 2440 Lake Vista Ct Apt 308, Casselberry, FL 32707 | 2015-02-27 |
| 1942625439 | Stephanie Kern | Chiropractor | 853 Sr 436, Suite 1001, Casselberry, FL 32707 | 2014-02-20 |
| 1548681703 | David J. Jenkins, D.c.,p.a. | Chiropractor | 897 East Semoran Blvd, Casselberry, FL 32707 | 2013-12-13 |
| 1871879338 | The Arbor School of Central Florida | Specialist | 3925 Red Bug Lake Road, Casselberry, FL 32707 | 2011-10-28 |
| 1982989307 | Ability Rehab | Public Health or Welfare | 520 Reflection Circle, Apt.205, Casselberry, FL 32707 | 2011-10-17 |
| 1861790149 | The Outsource Group | Case Management | 950 South Winter Park Drive, Suite 120, Casselberry, FL 32707 | 2011-03-10 |
| Find all providers in zip 32707 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629946 | Robyn Stephanie Bishop | Nurse Practitioner | 2008 Varick Way, Casselberry, FL 32707-2432 | 2020-08-13 |
| 1639793243 | Nicole Eslava | Nurse Practitioner | 4160 Leafy Glade Pl, Casselberry, FL 32707-5289 | 2020-05-31 |
| 1689205973 | Katia Del Valle | Nurse Practitioner | 15 Apple Hill Holw, Casselberry, FL 32707-4901 | 2020-01-27 |
| 1043776511 | Elibel Marie Abanilla | Nurse Practitioner | 319 Capron Ash Loop, Casselberry, FL 32707-3705 | 2019-02-20 |
| 1679050314 | Christine Mary Forge | Nurse Practitioner | 1015 State Road 436 Ste 229, Casselberry, FL 32707-5757 | 2018-07-25 |
| 1821584483 | Mary Frances Riggins | Nurse Practitioner | 801 Hinkle Ln, Casselberry, FL 32707-2542 | 2018-07-06 |
| 1629578083 | Tabitha Elizabeth Bruinsma | Nurse Practitioner | 315 Southcot Dr, Casselberry, FL 32707-4311 | 2018-02-12 |
| 1437666427 | Zanetta Randolph | Nurse Practitioner | 1783 Grand Rue Dr, Casselberry, FL 32707-2427 | 2017-12-29 |
| 1093241663 | Amabel Tangunan Lubaton | Nurse Practitioner | 430 State Road 436 Ste 224, Casselberry, FL 32707-4965 | 2017-05-02 |
| 1851640510 | Isis Vidal Bucci | Nurse Practitioner | 1120 State Road 436 Ste 1200, Casselberry, FL 32707-6183 | 2012-09-09 |
| Find all providers in CASSELBERRY | ||||
| City | CASSELBERRY |
| Zip Code | 32707 |
Please comment or provide details below to improve the information on MRS. SHANNON ROSE ELLIS.
| 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.