SHANNON FORD (NPI# 1770826950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770826950 |
| Entity Type | Individual |
| Full Name | SHANNON FORD |
| Credential | CPNP |
| Practice Address |
11 Berkshire Rd Smithfield NC 27577-4748 |
| Mailing Address |
4609 Pleasant Grove Church Rd Raleigh NC 27613-3323 |
| Practice Telephone | 9199340564 |
| Practice Fax Number | 9199349703 |
| Mailing Telephone | 9195104474 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
149601 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396103768 | Shannon Ford | Social Worker | 2334 Englewood Dr Se, Grand Rapids, MI 49506-4515 | 2016-02-01 |
| 1184089005 | Shannon Ford | Physical Therapy Assistant | 7195 Nw 215th Way, Starke, FL 32091-5174 | 2015-12-18 |
| 1366053191 | Shannon Catherine Ford | Home Health Aide | 130 George St, Beckley, WV 25801-2648 | 2020-08-14 |
| 1609497288 | Shannon Marie Ford | Rehabilitation Practitioner | 2887 S Maryland Pkwy, Las Vegas, NV 89109-1511 | 2020-05-05 |
| 1255883088 | Shannon Ford | Occupational Therapist | 1111 N Wells St, 500, Chicago, IL 60610-7635 | 2016-10-27 |
| 1881927390 | Shannon Christine Ford | Psychiatry & Neurology | 8901 Wisconsin Ave, Walter Reed National Military Medical Center, Bethesda, MD 20889 | 2009-09-15 |
| Street Address |
11 BERKSHIRE RD |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831159391 | Sally Lawson Carpenter | Pediatrics | 11 Berkshire Rd, Smithfield, NC 27577-4748 | 2006-03-27 |
| 1609066273 | Johnston County Pediatrics | Pediatrics | 11 Berkshire Rd, Smithfield, NC 27577 | 2007-07-30 |
| 1356495683 | Jana S Kellam | Nurse Practitioner | 11 Berkshire Rd, Smithfield, NC 27577 | 2007-01-23 |
| 1255499752 | Johnston County Pediatrics | Pediatrics | 11 Berkshire Rd, Smithfield, NC 27577-4748 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962442376 | Sharon Q Capuano | Nurse Practitioner | 1150 Douglas Pike, Smithfield, RI 02917 | 2006-06-07 |
| 1609488535 | Alexis Fernandez | Nurse Practitioner | 1519 E Booker Dairy Rd, Smithfield, NC 27577-9472 | 2020-08-21 |
| 1467954396 | Caroline Bernthal | Nurse Practitioner | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2018-03-07 |
| 1245698620 | Ashleigh Pappadake Martin | Nurse Practitioner | 1519 E Booker Dairy Rd, Smithfield, NC 27577-9472 | 2016-02-01 |
| 1467817353 | Jacqueline Grooms Oliver | Nurse Practitioner | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2015-12-21 |
| 1356495683 | Jana S Kellam | Nurse Practitioner | 11 Berkshire Rd, Smithfield, NC 27577 | 2007-01-23 |
| 1013065390 | Karen H Merritt | Nurse Practitioner | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on SHANNON FORD.
| 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.