MS. LAURA ANN SHATTUCK (NPI# 1962540310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962540310 |
| Entity Type | Individual |
| Full Name | MS. LAURA ANN SHATTUCK |
| Credential | PNP |
| Practice Address |
21440 S Upper Highland Rd Beavercreek OR 97004-8814 |
| Practice Telephone | 5036323172 |
| Mailing Telephone | 5036323172 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21440 S UPPER HIGHLAND RD |
| City | BEAVERCREEK |
| State | OR |
| Zip Code | 97004-8814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003234253 | At Your Door Dental | Dental Hygienist | 25150 S. Larkin Rd., Beavercreek, OR 97004 | 2014-04-04 |
| 1538516331 | Deanna Lea Way | Registered Nurse | 22062 S Ferguson Rd, Beavercreek, OR 97004-7625 | 2016-05-21 |
| 1528171923 | Graham Douglas Shea | Dentist | 21072 S Mountain Meadow Rd, Beavercreek, OR 97004-7699 | 2006-08-17 |
| 1376701888 | Vicki Lynn Miracle | Registered Nurse | 19824 S Butte Rd, Beavercreek, OR 97004-8847 | 2008-05-30 |
| 1003420407 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 19824 S Butte Rd, Beavercreek, OR 97004-8847 | 2020-09-02 |
| 1811200108 | Greg Glenn Gill Jr. | Counselor | 25915 S Fallsview Rd, Beavercreek, OR 97004-9638 | 2010-07-15 |
| 1033345038 | Laura Bartko | Advanced Practice Midwife | 23841 S Fellows Rd, Beavercreek, OR 97004-9726 | 2009-06-03 |
| 1902043748 | Deborah Frances | Naturopath | 25884 S Beeson Rd, Beavercreek, OR 97004-9748 | 2009-01-15 |
| 1710181425 | Karen Zondervan | Counselor | 25003 S Beeson Rd, Beavercreek, OR 97004-9783 | 2007-06-14 |
| 1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
| Find all providers in zip 97004 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992028 | Zachary James Hale | Nurse Practitioner | 68 Darst Rd, Beavercreek, OH 45440-3442 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1225698889 | Agewell Geriatrics, LLC | Nurse Practitioner | 13120 Sw Heather Ct, Beaverton, OR 97008-5612 | 2019-06-17 |
| 1760960462 | Sid Christian Keomanivong | Nurse Practitioner | 2677 Beall Ln, Central Point, OR 97502-1462 | 2018-08-03 |
| 1245611771 | Karen Musick | Nurse Practitioner | 3514 Nw Mckinley Dr, Corvallis, OR 97330-1148 | 2015-06-10 |
| 1184054546 | Nancy M Burgess Rn Msn Anp-c PC | Nurse Practitioner | 910 Sw Highway 97 Ste 104, Madras, OR 97741-9247 | 2013-11-22 |
| 1518391804 | Sally Elizabeth Kraynik | Nurse Practitioner | 1895 E Main St, Hillsboro, OR 97123-4345 | 2013-08-22 |
| 1295998920 | Paula Jo Cramer | Nurse Practitioner | 790 S Main St Myrtle, Creek, Ore, Myrtle Creek, OR 97457 | 2008-07-02 |
| 1780855601 | Leslie West | Nurse Practitioner | 51730 Dexter St., Blue River, OR 97413-0183 | 2008-03-19 |
| 1548399322 | Corporate Health Nw | Nurse Practitioner | 10209 Se Division St, Portland, OR 97266-1327 | 2007-03-05 |
| 1699761932 | Rogue Valley Physicians | Nurse Practitioner | 2900 Doctors Park Dr, Medford, OR 97504-8127 | 2005-09-22 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 97004 |
Please comment or provide details below to improve the information on MS. LAURA ANN SHATTUCK.
| 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.