MRS. SHANNON ASHE SHOCKLEY (NPI# 1881255511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881255511 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON ASHE SHOCKLEY |
| Credential | FNP-BC |
| Practice Address |
1810 White Cir Ste 105 Marietta GA 30066-5836 |
| Practice Telephone | 6787976820 |
| Practice Fax Number | 7704248787 |
| Mailing Telephone | 6787976820 |
| Mailing Fax Number | 7704248787 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN171136 | GA | Nursing Service Providers |
| Street Address |
1810 WHITE CIR STE 105 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-5836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891746152 | Laurie Lammert | Internal Medicine | 1810 White Cir Ste 105, Marietta, GA 30066 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240069 | Wenqiu Jennings | Registered Nurse | 2090 Breconridge Dr Sw, Marietta, GA 30064-4179 | 2020-09-17 |
| 1578520557 | Sandra B. Pulaski | Registered Nurse | 2550 Windy Hill Rd Se, Suite 115, Marietta, GA 30067-8665 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226502 | Lakesha Armstrong | Registered Nurse | 386 Bakers Ferry Trl, Martinez, GA 30907-4955 | 2020-05-18 |
| 1881227924 | Margaret Ree Chapman | Registered Nurse | 3931 Highway 78 W Ste B200, Snellville, GA 30039-3907 | 2020-02-18 |
| 1639712151 | Kristin Pitts | Registered Nurse | 219 Boggs St, Lexington, GA 30648 | 2019-10-28 |
| 1134762255 | Charmante Cyrius | Registered Nurse | 2668 Westchester Pkwy Se, Conyers, GA 30013-2400 | 2019-10-21 |
| 1417509191 | Ayodeji Moses Oluloro | Registered Nurse | 3111 Blue Heron Pass, Powder Springs, GA 30127-2399 | 2019-07-12 |
| 1538725197 | Sherry Bynum Smith | Registered Nurse | 608 Pine Ln, Lawrenceville, GA 30043-4034 | 2019-05-19 |
| 1750855599 | Tanya D Miller | Registered Nurse | 1724a Old Reynolds St, Waycross, GA 31501-1036 | 2019-01-15 |
| 1770050080 | Gussie Baccus | Registered Nurse | 115 Wellington Trl, Covington, GA 30016-8629 | 2018-10-25 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780181834 | Jerakhine N Mills | Registered Nurse | 1810 Mulkey Rd Ste 105, Austell, GA 30106-1132 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
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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.