MRS. SHANNON R BODIFORD (NPI# 1972037000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972037000 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON R BODIFORD |
| Credential | FNP-BC |
| Practice Address |
2018 Western Ave Knoxville TN 37921-5718 |
| Mailing Address |
1923 Sulphur Springs Rd Morristown TN 37813-5654 |
| Practice Telephone | 8655440406 |
| Practice Fax Number | 8655440480 |
| Mailing Telephone | 4233179344 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2019-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21117 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2018 WESTERN AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298031 | Tammy Renee Feehan | Pediatrics | 2018 Western Ave, Knoxville, TN 37921-5718 | 2005-07-12 |
| 1295335396 | Britney Lashea Love | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-28 |
| 1518564269 | Amanda Ashley Collazo | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1548867203 | Rachel Marie Koch | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1881209864 | Roger Mitchell Nooe Jr. | Social Worker | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-09-15 |
| 1770196859 | Kerri Dominique Harris | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-28 |
| 1073124228 | Patrick Joseph Mcnicholas | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-12 |
| 1932710217 | Madeline Elyse Chelko | Registered Nurse | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-11 |
| 1831708601 | Anne Elise Russell | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-28 |
| 1790393957 | Sydney Taylor Younginer | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
| Find all providers in zip 37921 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1598371098 | Angela Ruth Porter | Nurse Practitioner | 333 Huxley Rd, Knoxville, TN 37922-3115 | 2020-09-20 |
| 1326653270 | Khalid Khan | Nurse Practitioner | 9036 Highbridge Dr, Knoxville, TN 37922-1439 | 2020-09-08 |
| 1972117042 | Seth Ingebrigtson | Nurse Practitioner | 4707 Seminole Rd, Knoxville, TN 37918-1548 | 2020-09-04 |
| 1013521285 | Ashley Renee Bonnell | Nurse Practitioner | 2667 Sweeping Rain Ln, Knoxville, TN 37931-3170 | 2020-09-03 |
| 1407460207 | Mofoluwasho Adenekan | Nurse Practitioner | 6100 Stratford Park Blvd, Knoxville, TN 37912-2109 | 2020-08-31 |
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1598375255 | Abbey Rae Powell | Nurse Practitioner | 10119 Tan Rara Dr, Knoxville, TN 37922-4142 | 2020-08-06 |
| 1194335018 | Jennifer Blair Massaro | Nurse Practitioner | 1424 Whitower Dr, Knoxville, TN 37919-8841 | 2020-08-05 |
| 1194333054 | Sara Ann Dajani | Nurse Practitioner | 7600 Redwood Burl Ln, Knoxville, TN 37931-4183 | 2020-07-16 |
| Find all providers in KNOXVILLE | ||||
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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.