PAMELA KAYE SHADLEY (NPI# 1801009485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801009485 |
| Entity Type | Individual |
| Full Name | PAMELA KAYE SHADLEY |
| Credential | CNS |
| Practice Address |
30 E Apple St Ste 5254a Dayton OH 45409-2939 |
| Practice Telephone | 9372084200 |
| Practice Fax Number | 9372084205 |
| Mailing Telephone | 9372084200 |
| Mailing Fax Number | 9372084205 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SN0800X |
Clinical Nurse Specialist Specialization: Neuroscience |
APRN.CNS.02175 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0095580 | 05 |
| Street Address |
30 E APPLE ST STE 5254A |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979000 | Gnan N Thakore | Internal Medicine | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2005-08-22 |
| 1366942096 | Anuradha Surya Devara | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2018-02-19 |
| 1598289928 | Cynthia Maria Schwartz | Clinical Nurse Specialist | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2017-07-27 |
| 1548718802 | Daniel Scott Johnstone | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2016-09-15 |
| 1851784359 | Krischelle Panganiban Rowland | Nurse Practitioner | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2015-03-09 |
| 1023419041 | Sarah Hendrickson | Nurse Practitioner | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2014-09-09 |
| 1063848240 | Michael Kentris | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-09-19 |
| 1144561903 | Lisa Renee Meiring | Clinical Nurse Specialist | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-03-04 |
| 1013288364 | Jessica Lynn Galli Robertson | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2012-01-18 |
| 1811273113 | Brandi Nicole Bell | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 364SN0800X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Neuroscience |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598289928 | Cynthia Maria Schwartz | Clinical Nurse Specialist | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2017-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750809158 | Sarah G Fischer | Clinical Nurse Specialist | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2017-09-06 |
| 1437281995 | Sharon Rose Dunlap | Clinical Nurse Specialist | 730 W Market St, Lima, OH 45801-4602 | 2007-03-11 |
| 1144304528 | Pamela Lang | Clinical Nurse Specialist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-10-24 |
| 1790872679 | Cheryl V. Lee | Clinical Nurse Specialist | 3130 Executive Pkwy, 8th Floor, Toledo, OH 43606-5529 | 2006-10-10 |
| 1265466239 | Christina M Whitney | Clinical Nurse Specialist | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-10 |
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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.