MRS. SHANNON TARA ORMSBEE (NPI# 1972856706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972856706 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON TARA ORMSBEE |
| Other Name | SHANNON TARA WHITTEMORE |
| Credential | APRN |
| Practice Address |
Wamc Clark Health Clinic Bldg 5-4257 Bastogne Street Fort Bragg NC 28310 |
| Mailing Address |
209 Timberlake Drive Fayetteville NC 28314 |
| Practice Telephone | 9109072575 |
| Practice Fax Number | 9109087738 |
| Mailing Telephone | 8027797128 |
| Mailing Fax Number | 9109087738 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5009248 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
005158 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
WAMC CLARK HEALTH CLINIC BLDG 5-4257 BASTOGNE STREET |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574670 | Rodney Saunders | Nurse Practitioner | 4527 Bastogne Dr, Fort Bragg, NC 28310-0001 | 2020-10-02 |
| 1891200812 | Diana M Costa | Nurse Practitioner | Bldg C-1722 Tagaytay Street, Fort Bragg, NC 28310-4712 | 2017-12-13 |
| 1558753772 | Tonya Maddox | Nurse Practitioner | 1722-c Tagaytay Dr, Fort Bragg, NC 28310-0001 | 2015-02-25 |
| 1801298435 | James Brown | Nurse Practitioner | Womack Army Hospital 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2014-09-26 |
| 1164832754 | Karen L Szafrajda | Nurse Practitioner | C-1722 Tagaytay, Fort Bragg, NC 28310-0001 | 2014-05-05 |
| 1659500650 | Warren Thomas Day | Nurse Practitioner | 2132 Reilly St, Fort Bragg, NC 28310-0001 | 2009-07-11 |
| 1255574869 | Tonya Sue Stagner | Nurse Practitioner | 2817 Reilly Road, Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2009-04-13 |
| 1396821849 | Sonya Shaw | Nurse Practitioner | 5-4257 Bastogne Ext, Fort Bragg, NC 28310-0001 | 2006-10-27 |
| 1386657930 | Rebecca Lynn Hilfiker | Nurse Practitioner | 2817 Reilly Rd Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-08-14 |
| 1336118512 | Nancy Blacker | Nurse Practitioner | Bldg 1-2539 Hamilton St, Fort Bragg, NC 28310-0001 | 2006-03-17 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
Please comment or provide details below to improve the information on MRS. SHANNON TARA ORMSBEE.
| 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.