SHANNON KRISTINE STEVENSON (NPI# 1912968157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912968157 |
| Entity Type | Individual |
| Full Name | SHANNON KRISTINE STEVENSON |
| Credential | APRN, NNP-BC |
| Practice Address |
1301 Concord Ter Sunrise FL 33323-2843 |
| Practice Telephone | 8002433839 |
| Mailing Telephone | 8002433839 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
597062 | TX | Nursing Service Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
597062 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346587144 | Shannon Denise Stevenson | Case Manager/Care Coordinator | 125 Dons Way, Hot Springs, AR 71913-6478 | 2013-01-14 |
| 1922368331 | Shannon L. Stevenson | Internal Medicine | 3691 Ridge Mill Dr, Hilliard, OH 43026 | 2012-05-18 |
| 1265400147 | Shannon Stevenson | Physical Therapy Assistant | 75 Jones and Gifford Ave, Jamestown, NY 14701-2828 | 2006-03-08 |
| Street Address |
1301 CONCORD TER |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137579 | Jan N Arango | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2005-10-12 |
| 1881226835 | Jasmine Taylor | Registered Nurse | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2020-02-07 |
| 1295374601 | Joshua Jaime Rodriguez | Registered Nurse | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2020-01-02 |
| 1528528403 | Esther Franklin | Registered Nurse | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2019-03-25 |
| 1518411503 | Michael Adam Grayson | Anesthesiologist Assistant | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2016-08-08 |
| 1578903068 | Merin P Sanjay | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2013-06-27 |
| 1447697198 | Deborah Carter Basco | Nurse Anesthetist, Certified Registered | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2013-06-03 |
| 1760741797 | American Anesthesiology of Florida, Inc | Anesthesiology | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2012-05-11 |
| 1598049629 | Roberta-lyn Kurronen | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2011-10-07 |
| 1568758597 | Teri Lynn Chavira | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2011-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861926933 | Tammy Rose Mcinerney | Nurse Practitioner | 1500 Concord Ter, 5th Floor, Sunrise, FL 33323-2815 | 2017-04-17 |
| 1124407242 | Kourtney Hennigan | Nurse Practitioner | 1613 Harrison Pkwy, Ste. 200, Sunrise, FL 33323-2896 | 2015-05-21 |
| 1730575796 | Neeta Singh | Nurse Practitioner | 1613 Harrison Pkwy, Suite 200, Sunrise, FL 33323-2896 | 2015-04-07 |
| 1548680515 | Amiy Lynn Gambrell | Nurse Practitioner | 1500 Concord Ter, Sunrise, FL 33323-2815 | 2014-04-17 |
| 1578903068 | Merin P Sanjay | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2013-06-27 |
| 1598049629 | Roberta-lyn Kurronen | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2011-10-07 |
| 1568758597 | Teri Lynn Chavira | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2011-06-28 |
| 1053616284 | Christy Lynn Embry | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2011-01-19 |
| 1407175292 | Donna M. Durham | Nurse Practitioner | 1613 N. Harrison Parkway, Ste 200, Sunrise, FL 33323-2896 | 2010-05-19 |
| 1083886709 | M'ral Lejsek | Nurse Practitioner | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2008-04-02 |
| Find all providers in SUNRISE | ||||
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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.