SHAVONNE DENISE MCKEITHAN (NPI# 1851831721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851831721 |
| Entity Type | Individual |
| Full Name | SHAVONNE DENISE MCKEITHAN |
| Practice Address |
264 Epps Ave Englewood NJ 07631-3934 |
| Practice Telephone | 5513133601 |
| Mailing Telephone | 5513133601 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 305232-1 | NY | Nursing Service Providers |
| Street Address |
264 EPPS AVE |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893419 | Richara Oliver | Licensed Practical Nurse | 601 W Wenger Rd Apt 9, Englewood, OH 45322-1926 | 2019-07-18 |
| 1740780717 | Marketta N Turner | Licensed Practical Nurse | 407 Whisperwood Dr, Englewood, OH 45322-1447 | 2018-02-16 |
| 1588178214 | Yanique Brown-coke | Licensed Practical Nurse | 217 Wilbur St, Englewood, NJ 07631-3326 | 2017-11-16 |
| 1598275299 | Danielle Shanae Jones | Licensed Practical Nurse | 830 Union Blvd, Englewood, OH 45322-2120 | 2017-10-07 |
| 1922534932 | Amanda Evans | Licensed Practical Nurse | 329 Heather St, Englewood, OH 45322-1217 | 2017-05-11 |
| 1649719139 | Lawrence Eseme Besingi | Licensed Practical Nurse | 402 Bluebell Ct, Englewood, OH 45315 | 2017-02-16 |
| 1023550837 | Christina Brutus | Licensed Practical Nurse | 159 Prospect St, Englewood, NJ 07631-2325 | 2016-11-09 |
| 1710300868 | Stephanie Janelle Quincy | Licensed Practical Nurse | 512 Heather St, Englewood, OH 45322-1136 | 2014-01-27 |
| 1033450747 | Dwana Shanee Woullard | Licensed Practical Nurse | 4675 Old Salem Rd, Englewood, OH 45322-2509 | 2013-03-05 |
| 1144568585 | Kadeem Coleman | Licensed Practical Nurse | 380 Murray Ave, Englewood, NJ 07631 | 2013-01-18 |
| Find all providers in ENGLEWOOD | ||||
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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.