SIERRA SHANKLE (NPI# 1891339776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891339776 |
| Entity Type | Individual |
| Full Name | SIERRA SHANKLE |
| Practice Address |
12200 Cortez Blvd Brooksville FL 34613-2630 |
| Practice Telephone | 8133739531 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11004676 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12200 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949140 | Leo Villar Yason | Psychiatry & Neurology | 12200 Cortez Blvd, Brooksville, FL 34613-2630 | 2005-08-18 |
| 1255963070 | Cynthia Chinwendu Chiaku | Nurse Practitioner | 12200 Cortez Blvd, Brooksville, FL 34613-2630 | 2020-02-10 |
| 1285151233 | Diana P Moorer | Nurse Practitioner | 12200 Cortez Blvd, Brooksville, FL 34613-2630 | 2017-08-29 |
| 1104107341 | The Wilson Group Billing Claims and Healthcare Management, LLC | Clinical Neuropsychologist | 12200 Cortez Blvd, Brooksville, FL 34613-2630 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711607 | Belinda Manuel | Nurse Practitioner | 31 Olive St, Brooksville, FL 34601-2125 | 2020-02-10 |
| 1811408164 | Dayana Abraham | Nurse Practitioner | 14540 Cortez Blvd Ste 120, Brooksville, FL 34613-6002 | 2017-10-13 |
| 1407289929 | Sean Lee Muffley | Nurse Practitioner | 26377 Richbarn Rd, Brooksville, FL 34601-5446 | 2013-08-20 |
| 1386916062 | Community Medical Associates, Pllc | Nurse Practitioner | 5176 William Sullivan Cir, Brooksville, FL 34604-8227 | 2012-01-27 |
| 1689820284 | Lemkham Benton | Nurse Practitioner | 7007 Grove Road, Brooksville, FL 34609 | 2008-08-14 |
| 1548313968 | James Summerlin | Nurse Practitioner | 17222 Hospital Blvd Ste 226, Brooksville, FL 34601-8925 | 2007-01-19 |
| 1609949692 | Kim Willams Truesdale | Nurse Practitioner | 139 North Oliver St, Brooksville, MS 39739 | 2006-11-16 |
| 1821053083 | Anthony P Laviano | Nurse Practitioner | 12220 Cortez Blvd, Brooksville, FL 34613-2631 | 2006-04-19 |
| 1083673412 | Alex B Bahadori | Nurse Practitioner | 12900 Cortez Blvd Ste 205, Brooksville, FL 34613-4898 | 2006-03-23 |
| 1861485260 | Carmen Regina Galda | Nurse Practitioner | 26 E Liberty St, Brooksville, FL 34601-2910 | 2005-08-31 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
Please comment or provide details below to improve the information on SIERRA SHANKLE.
| 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.