NOA SHANNON BOURKE (NPI# 1932711686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932711686 |
| Entity Type | Individual |
| Full Name | NOA SHANNON BOURKE |
| Other Name | SHANNON MARIE BOURKE |
| Credential | MSN RN |
| Practice Address |
105 Eastern Ave Rochester NH 03867-2007 |
| Mailing Address |
2 Partridge Green Way Rochester NH 03867-4557 |
| Practice Telephone | 6033323848 |
| Mailing Telephone | 6033120614 |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
063525-21 | NH | Nursing Service Providers |
| Street Address |
105 EASTERN AVE |
| City | ROCHESTER |
| State | NH |
| Zip Code | 03867-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763564 | Mark Bullard | Occupational Therapy Assistant | 105 Eastern Ave, Rochester, NH 03867-2007 | 2020-06-03 |
| 1730726928 | Ashley Fromer | Specialist/Technologist | 105 Eastern Ave, Rochester, NH 03867-2007 | 2019-12-06 |
| 1952946170 | Diane Ellen Bessey | Physical Therapist | 105 Eastern Ave, Rochester, NH 03867-2007 | 2019-11-12 |
| 1801430376 | Jason Scott Smith | Physical Therapy Assistant | 105 Eastern Ave, Rochester, NH 03867-2007 | 2019-10-29 |
| 1215571781 | Donna Marie Marble I | Occupational Therapy Assistant | 105 Eastern Ave, Rochester, NH 03867-2007 | 2019-10-29 |
| 1649814013 | Elaine P Deschambeault | Physical Therapy Assistant | 105 Eastern Ave, Rochester, NH 03867-2007 | 2019-10-29 |
| 1952944498 | Margaret Mcconaghy | Specialist/Technologist | 105 Eastern Ave, Rochester, NH 03867-2007 | 2019-10-28 |
| 1386287886 | Wendy Joan Harmon | Assistant Behavior Analyst | 105 Eastern Ave, Rochester, NH 03867-2007 | 2019-10-28 |
| 1205479714 | Kathryn Bowman Perry | Occupational Therapist | 105 Eastern Ave, Rochester, NH 03867-2007 | 2019-10-28 |
| 1750862587 | Melissa Nagel | Specialist/Technologist | 105 Eastern Ave, Rochester, NH 03867-2007 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402862 | Allergy and Asthma Center | Allergy & Immunology | 161 Rochester Hill Road, Rochester, NH 03867 | 2020-09-16 |
| 1245874908 | Alicia Anne Magoon | Occupational Therapist | 105 Eastern Avenue, Rochester, NH 03867 | 2019-11-05 |
| 1124531801 | Amelia K Bailey | Behavioral Analyst | 36 Industrial Way Ste 10, Rochester, NH 03867 | 2017-11-16 |
| 1285183988 | Till Inc | Community/Behavioral Health | 20 Walnut Street Apt 2, Woburn, MA 03867 | 2016-09-23 |
| 1174070080 | Hope On Haven Hill, Inc | Substance Abuse Rehabilitation Facility | 326 Rochester Hill Rd, Rochester, NH 03867 | 2016-09-08 |
| 1710359468 | Silke Psula | Social Worker | 25 Old Dover Rd, Community Partners, Rochester, NH 03867 | 2015-10-21 |
| 1396129672 | Skyhaven Surgery Center LLC | Clinic/Center | 13 Healthcare Drive, Rochester, NH 03867 | 2015-07-16 |
| 1659788214 | Elizabeth Mary Solof | Case Management | 1 Old Dover Road, Suite 7, Rochester, NH 03867 | 2014-07-16 |
| 1447676754 | Granite State Express Care LLC | Clinic/Center | 120 Washington Street, Rochester, NH 03867 | 2014-03-11 |
| 1265630412 | Deborah Jo Emery | Counselor | One Old Dover Road, Suite #6, Rochester, NH 03867 | 2007-07-10 |
| Find all providers in zip 03867 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336617398 | Shannon Wilson | Registered Nurse | 228 19th St Sw, Rochester, MN 55902-2327 | 2018-11-07 |
| 1205921715 | Sue M Keenan | Registered Nurse | 172 Alexander Street, Rochester, NY 14607 | 2006-10-03 |
| 1821504259 | Christopher Kirisits | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2017-12-21 |
| 1043726342 | Joseph Fleisher | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2017-12-21 |
| 1972951887 | Susie Mae Gatewood | Registered Nurse | 281 W Ridge Rd, Rochester, NY 14615-2927 | 2016-06-01 |
| 1184094732 | Eric John Jansen | Registered Nurse | 339 East Ave, Suite 303, Rochester, NY 14604-2627 | 2015-09-25 |
| 1104089028 | Catherine J Brown | Registered Nurse | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306061924 | Charlene F Bradley | Registered Nurse | 7 Rope Ferry Rd # 6143, Hanover, NH 03755-1404 | 2007-04-17 |
| 1174085930 | Lorene Theresa Zammuto | Registered Nurse | 1056 River Rd, Manchester, NH 03104-1958 | 2019-04-02 |
| 1891048328 | Margaret Franckhauser | Registered Nurse | 780 N Main St, Laconia, NH 03246-2756 | 2012-10-22 |
| 1316221401 | Deborah C Fischer | Registered Nurse | 1 Washington St, Dover, NH 03820-3848 | 2011-10-06 |
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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.