SHANNON ACQUAVIVA (NPI# 1811403868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811403868 |
| Entity Type | Individual |
| Full Name | SHANNON ACQUAVIVA |
| Practice Address |
9733 Harvester Cir Perry Hall MD 21128-9027 |
| Practice Telephone | 4434153167 |
| Mailing Telephone | 4437254763 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R178155 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9733 HARVESTER CIR |
| City | PERRY HALL |
| State | MD |
| Zip Code | 21128-9027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955011 | E-psychiatriq LLC | Nurse Practitioner | 5004 Honeygo Center Drive, Suite 102 #197, Perry Hall, MD 21128 | 2020-02-28 |
| 1043705502 | C and C Loving Heart Health Care Agency | Nursing Care | 5122 Crest Haven Way, Perry Hall, MD 21128 | 2018-06-27 |
| 1285995241 | Caren R Williams | Nurse Practitioner | 5009 Honeygo Center Drive, Suite 225, Perry Hall, MD 21128 | 2012-06-06 |
| 1336449677 | Indira P Rallapalli | Pharmacist | 9645 Belair Road, Perry Hall, MD 21128 | 2010-11-02 |
| 1942484209 | Jeff Zhang | Orthopaedic Surgery | 5110 Hugunin Way, Perry Hall, MD 21128 | 2007-12-21 |
| 1023047040 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 9645 Belair Rd, Perry Hall, MD 21128 | 2006-07-02 |
| 1386604593 | J Nicholas Leyko Dds Pa | Dentist | 4204 Forge Road, Perry Hall, MD 21128 | 2006-03-23 |
| 1205447539 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 9645 Belair Rd, Perry Hall, MD 21128 | 2020-08-11 |
| 1194115287 | Joseph Alexander Yurek Jr. | Pharmacy Technician | 6 Farm Brook Ct, Perry Hall, MD 21128-8808 | 2015-01-28 |
| 1528443629 | Olumide Savage | Occupational Therapist | 8814 Baileys Ct, Perry Hall, MD 21128-8814 | 2015-07-30 |
| Find all providers in zip 21128 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1811596281 | Winners Healthcare Services LLC | Nurse Practitioner | 1529 Winfields Ln, Gambrills, MD 21054-1127 | 2020-10-18 |
| 1518565324 | Kanisha Tonya Aaron | Nurse Practitioner | 9401 Groveton Cir Apt 311, Owings Mills, MD 21117-8299 | 2020-10-14 |
| 1891393765 | Winsome Boykin | Nurse Practitioner | 7231 Parkway Dr, Hanover, MD 21076-1788 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | PERRY HALL |
| Zip Code | 21128 |
Please comment or provide details below to improve the information on SHANNON ACQUAVIVA.
| 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.