CAITLIN SHINN


Address: 5641 Poplar Tent Rd, Suite 101, Concord, NC 28027-7533
Phone: 7047821955

CAITLIN SHINN (NPI# 1952770182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952770182
Entity Type Individual
Full Name CAITLIN SHINN
Credential FNP
Practice Address 5641 Poplar Tent Rd
Suite 101
Concord
NC 28027-7533
Mailing Address Po Box 19305
Charlotte
NC 28219-9305
Practice Telephone 7047821955
Enumeration Date 2015-09-17
Last Update Date 2019-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5007994 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
123 Professional Park Dr, Locust, NC 280977712 7044036760
4315 Physicians Blvd, Suite 101, Harrisburg, NC 280757430 7044556521
5651 Poplar Tent Rd, Suite 102, Concord, NC 280277530 7047824878
8560 Cook St, Mt Pleasant, NC 281247686 7044366521

Office Location

Street Address 5641 POPLAR TENT RD
SUITE 101
City CONCORD
State NC
Zip Code 28027-7533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083602866 David Tignor Family Medicine 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 2005-10-06
1598271843 Andrew Dehlin Physician Assistant 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 2017-12-22
1265882021 Alexander Moshtaghi Family Medicine 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 2016-06-13
1245633650 Kerry A. Dove, Dmd Ms, Pllc Dentist 5641 Poplar Tent Rd, Concord, NC 28027-7533 2014-09-30
1881029429 Angela Grace Mercier Nurse Practitioner 5641 Poplar Tent Rd, Suite 101, Concord, NC 28027-7533 2013-09-12
1669812806 Shradha Pant Family Medicine 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 2013-07-02
1265770309 Oscar Ramirez Physician Assistant 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027-7533 2013-01-24
1386996676 Carolinas Physicians Network Inc. Clinic/Center 5641 Poplar Tent Rd, Suite 204, Concord, NC 28027-7533 2012-10-10
1629320916 Carolinas Physicians Network, Inc. Psychiatry & Neurology 5641 Poplar Tent Rd, Suite 204, Concord, NC 28027-7533 2012-10-10
1568787141 Bryan C Bunn Family Medicine 5641 Poplar Tent Rd, Suite 101, Concord, NC 28027-7533 2010-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023652252 Medcare Transport of Nc Non-emergency Medical Transport (VAN) 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 2019-10-31
1538718770 Carolyn Ann Broadnax Technician 3524 Cedar Springs Dr, Concord, NC 28027 2019-09-10
1447806575 Claire-ann E Papp Dentist 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 2019-08-14
1578120218 Philip Osborn Dentist 5408 Nc-49, Harrisburg, NC 28027 2019-05-28
1639648306 Kristen Morris Spell Counselor 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 2018-11-25
1568959625 Laurie Ford Counselor 705 Samuel Adams Cir Sw, Concord, NC 28027 2018-04-15
1598278194 Autumn Nobles Specialist/Technologist 10193 Falling Leaf Dr Nw, Concord, NC 28027 2017-11-06
1386192938 Brundasudha Satti IIi Physical Therapist 379 Sutoforest Dr Nw, Concord, NC 28027 2016-09-12
1467809616 Kathryn Teal Watts Dentist 5305345 Vining St Nw, #201, Concord, NC 28027 2016-05-18
1720443849 Denette Carte Health Educator 9712 Ravenscroft Lane Nw, Concord, NC 28027 2015-12-16
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891355970 Taquita Shanee Milner Nurse Practitioner 3116 Dylan Pl Nw, Concord, NC 28027-0769 2019-06-19
1083182992 Katie Weatherman Tucker Nurse Practitioner 1085 Ne Gateway Ct Ne Ste 180, Concord, NC 28025-2407 2018-11-08
1174938799 Altegra Health Connections, LLC Nurse Practitioner 9 Capitol St, Concord, NH 03301-6310 2014-06-23
1548514888 Sarah Adler-mcdonald Nurse Practitioner 2000 Sierra Rd., Concord, CA 94518 2012-11-08
1982990560 Rashida Petrovich Nurse Practitioner 2222 East St # 305, Concord, CA 94520-2066 2011-06-22
1386774545 Deborah Ann Sampson Nurse Practitioner 60 Commerce St Suite 302, Concord Hospital Occupational Health, Concord, NH 03301-0000 2007-03-06
1164569307 Bridget Mary Canty Nurse Practitioner 5299 Laurel Dr, Concord, CA 94521-1529 2007-01-30
1679610844 Debra Lynn Knuckles Nurse Practitioner 855 Bradley St, Ste. A, Concord, NC 28025-2979 2007-01-30
1043375090 Kimberly A Capello Nurse Practitioner 59 Old Road To 9 Acre Cor, Ste 1, Concord, MA 01742-3317 2006-12-27
1346253978 My Linh Thi Waldrop Nurse Practitioner 9614 Camden Town Dr Nw, Concord, NC 28027-3332 2006-08-14
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Competitor

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City CONCORD
Zip Code 28027

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Dataset Information

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.

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