DR. SHAUNA M. EZELL (NPI# 1780600858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780600858 |
| Entity Type | Individual |
| Full Name | DR. SHAUNA M. EZELL |
| Other Name | SHAUNA M. JOHNSON |
| Credential | PHD, LCSW |
| Practice Address |
48 Mdos/sgow 230 Apo AE 09464-0008 |
| Mailing Address |
48 Mdos/sgow, Bldg. 922, Hospital Annex Raf Lakenheath, Eriswell, Brandon Apo AE 09464-0008 |
| Practice Telephone | 1638528603 |
| Mailing Telephone | 1638528603 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3097-57 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
7400-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 524139100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 374th Medical Group Unit 5071, Apo, AP 963285071 | 0425525510 |
| Street Address |
48 MDOS/SGOW 230 |
| City | APO |
| State | AE |
| Zip Code | 09464-0008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639332794 | 48 Mdg | Military Hospital | 48 Mdos/sgow, Unit 5210 Box 230, Apo, AE 09461 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711579 | Jimbell Gray | Military Health Care Provider | Building #932, Apo, AE 09464 | 2018-12-16 |
| 1427334069 | Megan T Corbett | Military Health Care Provider | Psc 41 Box 4063, Apo, AE 09464 | 2011-10-27 |
| 1831354547 | Lisa Renee Murchison | Nurse Practitioner | Raf Lakenheath Ob/gyn, 48msgs/sgcg, Unit 5210 Boffx 230, Apo, AE 09464 | 2008-07-22 |
| 1548339716 | 48th Medical Support Squadron/sgsl | Military/U.S. Coast Guard Pharmacy | Raf Lakenheath Uk, Apo, AE 09464 | 2006-11-06 |
| 1790751964 | Tanya Angelique Bartlett | Social Worker | Psc 41 Box 3592, Apo, AE 09464 | 2006-02-27 |
| 1316925845 | Barbara B. Acevedo | Physician Assistant | 48 Mdg/sgop, Unit 5210, Apo, AE 09464 | 2006-01-05 |
| 1326026055 | Brien D Weston | Audiologist | Ear, Nose & Throat/48medical Group/sgosla, Raf Lakenheath, Apo, AE 09464 | 2006-01-04 |
| 1467430322 | Bruce E Sternke | Anesthesiology | 48 Mdg/sghc, Unit 5115, Apo, AE 09464 | 2006-01-02 |
| 1285622936 | Darrell Smith | Dentist | Psc 41 Box 5589, Apo, AE 09464 | 2005-10-07 |
| 1821084146 | Ellen Louise Leeke | General Practice | Family Practice, 48th Mdg/mdos/sgopf, Raf Lakenheath, Apo, AE 09464 | 2005-09-22 |
| Find all providers in zip 09464 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295260420 | Karolina Przegienda | Psychologist | 9414 Old Ironsides Ave and 19th Street, Fort Hood, Tx, Apo, AA 78544 | 2017-04-25 |
| 1124476122 | Joanna Dziura | Psychologist | Vilseck Behavioral Health Clinic, Bldg 260, Apo, AE 09112 | 2016-05-31 |
| 1629456348 | Maisha Marie Smith | Psychologist | Quality Management Division (credentials) Hq, Korea Unit 15281, Apo, AP 96205 | 2015-05-14 |
| 1891181509 | Mary Zander | Psychologist | Psc 76 Box 3646, Apo, AP 96319-0037 | 2015-04-09 |
| 1932460516 | Sarah Elizabeth Wood | Psychologist | Building 1526, Clay Kaserne, Apo, AE 09096 | 2012-05-31 |
| 1164713384 | Wesley Neal Stokes | Psychologist | Unit 15190 Box 46, Apo, AP 96271-5190 | 2011-04-21 |
| 1598089617 | Sharon Elaine Stewart | Psychologist | Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180-3460 | 2010-03-18 |
| 1770728180 | Christine Ann O'riley | Psychologist | Cmr 402 Box 877, Apo, AE 09180-0877 | 2008-12-15 |
| 1982854428 | Timothy Scott Greenhill | Psychologist | Cmr 415 Box 3929, Apo, AE 09114-0040 | 2008-09-21 |
| 1841452034 | Elizabeth A Goodwin | Psychologist | Psc 80 Box 10922, Apo, AP 96367-0012 | 2008-06-27 |
| Find all providers in APO | ||||
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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.