MRS. SHANNON DEE KEELY (NPI# 1821327768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821327768 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON DEE KEELY |
| Credential | RN IBCLC RLC |
| Practice Address |
3505 Converse Dr Suite 200 Wilmington NC 28403-6131 |
| Mailing Address |
6520 Shire Ln Wilmington NC 28411-1021 |
| Practice Telephone | 9103925634 |
| Practice Fax Number | 9103925654 |
| Mailing Telephone | 9105082147 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2012-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
215454 | NC | Nursing Service Providers |
| Street Address |
3505 CONVERSE DR SUITE 200 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073532248 | Dimock Weinberg & Cherry Dds Pllc | Dentist | 3505 Converse Dr, Suite 175, Wilmington, NC 28403-6131 | 2006-07-19 |
| 1225524473 | Michelle Espinoza | Behavioral Analyst | 3505 Converse Dr, Wilmington, NC 28403-6131 | 2018-07-10 |
| 1821519125 | Ashley Jill Koehler | Occupational Therapist | 3505 Converse Dr, Wilmington, NC 28403-6131 | 2017-06-28 |
| 1760865760 | Kidzcare Pediatrics, PC | Pediatrics | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2015-07-08 |
| 1447638341 | Coastal Pediatric Associates, Pllc | Specialist | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2015-05-12 |
| 1891194015 | Raleigh Durham Medical Group, Pa | Pediatrics | 3505 Converse Dr, Ste 200, Wilmington, NC 28403-6131 | 2014-08-14 |
| 1861628695 | Breony Miller Vinson | Physician Assistant | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2009-06-08 |
| 1588898571 | Whitney Nugent King | Pediatrics | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2009-05-06 |
| 1740342112 | Shawn Marie Desmond | Nurse Practitioner | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2006-12-14 |
| 1912094301 | Thomas L Blackstone | Pediatrics | 3505 Converse Dr, Ste 200, Wilmington, NC 28403-6132 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013339035 | Danielle Munroe | Registered Nurse | 29 York Rd, Wilmington, DE 19803-3731 | 2014-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652918 | Alicia Lilly | Registered Nurse | 1101 Vista View Ln Apt 118, Winston Salem, NC 27103-3136 | 2020-09-01 |
| 1174136766 | Johanna Mae Gilbert | Registered Nurse | 2423 Tram Rd, New Bern, NC 28562-7374 | 2020-08-25 |
| 1902423189 | Sarah Cassidy Grantham | Registered Nurse | 307 Carrie Ct, Newport, NC 28570-7038 | 2020-07-03 |
| 1932733276 | Briana Savago | Registered Nurse | 5001 Beckford Dr, Charlotte, NC 28226-4905 | 2020-02-25 |
| 1801427927 | Central Carolina Lactation Consultant Pllc | Registered Nurse | 5374 Timber Trl, Randleman, NC 27317-8293 | 2020-01-28 |
| 1831737477 | Erin Hunter Neuwald | Registered Nurse | 8516 Arlington Church Rd, Mint Hill, NC 28227-8011 | 2019-12-13 |
| 1154967628 | Holistic Lactation of The Carolinas, Inc | Registered Nurse | 1312 Matthews Mint Hill Rd, Matthews, NC 28105-4212 | 2019-11-20 |
| 1386294494 | Ashley Borman | Registered Nurse | 191 Allison Rd, Brevard, NC 28712-3001 | 2019-09-19 |
| 1659833671 | Darla Moneymaker | Registered Nurse | 150 Commerce Ave, Southern Pines, NC 28387-7045 | 2019-04-01 |
| 1942770102 | Jody A Mitchell | Registered Nurse | 3208 Sedgefield Pines Ln, Raleigh, NC 27604-4504 | 2018-11-30 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.