SHANNON J. HANVEY (NPI# 1972739332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972739332 |
| Entity Type | Individual |
| Full Name | SHANNON J. HANVEY |
| Credential | P.A. |
| Practice Address |
3235 Academy Ave Ste 101 Portsmouth VA 23703-3200 |
| Practice Telephone | 7574847386 |
| Practice Fax Number | 7574841913 |
| Mailing Telephone | 7574847386 |
| Mailing Fax Number | 7574841913 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006082 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3235 ACADEMY AVE STE 101 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628534 | Katina Knight | Nurse Practitioner | 3235 Academy Ave Ste 101, Portsmouth, VA 23703-3200 | 2020-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584869 | Elizabeth Fiorentino | Physician Assistant | 500 Market St Unit 1e, Portsmouth, NH 03801-3456 | 2020-09-30 |
| 1275184970 | Jillian Mccolgan | Physician Assistant | 111 Nh Ave Ste 2, Portsmouth, NH 03801-2864 | 2019-09-24 |
| 1235607193 | Alison Jeanne Mailloux | Physician Assistant | 500 Market St Unit 1b, Portsmouth, NH 03801-3456 | 2018-11-08 |
| 1275051765 | Kevin Dillon Macdonald | Physician Assistant | 1735 27th St Ste 108, Portsmouth, OH 45662-2679 | 2017-09-05 |
| 1104147701 | Erica Nania | Physician Assistant | 155 Borthwick Ave Ste 202w, Portsmouth, NH 03801-7119 | 2010-06-17 |
| 1215255658 | Jennifer D. Roberts Do LLC | Physician Assistant | 1735 27th St Ste 206a, Portsmouth, OH 45662-0009 | 2010-05-10 |
| 1548409717 | Zachary Nathanial Latimer | Physician Assistant | 330 Borthwick Ave Ste 107, Portsmouth, NH 03801-7110 | 2009-02-11 |
| 1053496380 | Michael D Steely | Physician Assistant | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 | 2006-10-26 |
| 1326080250 | Kathy A Long | Physician Assistant | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 | 2006-06-12 |
| 1558978296 | Kendra Alexandria Eldridge Pertuset | Physician Assistant | 2127 25th St, Portsmouth, OH 45662-3250 | 2020-09-27 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
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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.