CAROL ANN SHU (NPI# 1982130597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982130597 |
Entity Type | Individual |
Full Name | CAROL ANN SHU |
Practice Address |
610 Dragon Dr Monroe OR 97456-9604 |
Practice Telephone | 5418475143 |
Enumeration Date | 2017-05-03 |
Last Update Date | 2017-05-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | PI-0011769 | OR | Student, Health Care |
Street Address |
610 DRAGON DR |
City | MONROE |
State | OR |
Zip Code | 97456-9604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235299140 | Benton County | Clinic/Center | 610 Dragon Dr, Monroe, OR 97456-9604 | 2006-12-11 |
1124594080 | Doninica N Roberts | Registered Nurse | 610 Dragon Dr, Monroe, OR 97456-9604 | 2018-10-18 |
1548778905 | Gabriella Meza | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2018-01-18 |
1124533161 | Kelsey Rollins | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-12-13 |
1659805653 | Daniella Gonzallez Castillo | Nurse's Aide | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-04-17 |
1467997221 | Onesimo Torres Giron | Community Health Worker | 610 Dragon Dr, Monroe, OR 97456-9604 | 2017-01-03 |
1700234671 | Kaci King | Technician | 610 Dragon Dr, Monroe, OR 97456-9604 | 2016-06-01 |
1295924009 | Sandra Veronick | Social Worker | 610 Dragon Dr, Monroe, OR 97456-9604 | 2007-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114482080 | Nicole Cutting Louie | Massage Therapist | 24990 Orchard Tract Rd, Monroe, OR 97456-8413 | 2019-02-05 |
1114225315 | Peter John Cannon | Anesthesiology | 24931 Larson Rd, Monroe, OR 97456-8713 | 2011-03-11 |
1790166957 | Elizabeth Williams | Pharmacist | 24614 Williams Rd, Monroe, OR 97456-9437 | 2015-06-13 |
1588190193 | Samantha Aldabe | Licensed Practical Nurse | 26889 Reiling Ave, Monroe, OR 97456-9459 | 2017-05-03 |
1639389638 | Monroe School District 1j | Local Education Agency (LEA) | 365 N 5th St, Monroe, OR 97456-9506 | 2007-05-22 |
1083026884 | Kyle Isaacs | Dental Hygienist | 24386 Bunker Hill Rd, Monroe, OR 97456-9745 | 2014-05-28 |
1609076611 | Kathryn Lynn Collins | Counselor | 24282 Bunker Hill Rd, Monroe, OR 97456-9745 | 2007-07-19 |
1033593066 | Miles 2 Smiles, LLC | Dental Hygienist | 24386 Bunker Hill Rd, Monroe, OR 97456-9745 | 2015-07-20 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
1588293179 | John Braxton Phifer | Student in an Organized Health Care Education/Training Program | 7005 Fairview Ct, Monroe, NC 28110-8922 | 2020-04-06 |
1215588009 | Micaela Earle Kwochka | Student in an Organized Health Care Education/Training Program | 17 Sunrise Ter, Monroe, CT 06468-2925 | 2019-09-24 |
1346705407 | Jaclyn Ketterer | Student in an Organized Health Care Education/Training Program | 394 Old Dutch Hollow Rd, Monroe, NY 10950-4575 | 2019-02-04 |
1659860922 | Sonia Victoria Altavilla | Student in an Organized Health Care Education/Training Program | 246 Barn Hill Rd, Monroe, CT 06468-2015 | 2018-05-02 |
1477086254 | Mina Siddiqui | Student in an Organized Health Care Education/Training Program | 15 Del Mar Way, Monroe, NJ 08831-5823 | 2017-04-07 |
1346780384 | Amanda Vojta | Student in an Organized Health Care Education/Training Program | 9 Roanoke Dr, Monroe, NY 10950-2207 | 2017-02-23 |
1518326628 | Stephen Amburgey | Student in an Organized Health Care Education/Training Program | 221 Bethel Ln, Monroe, VA 24574-3114 | 2016-02-17 |
1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
1336418466 | Ashley Breanne Karow | Student in an Organized Health Care Education/Training Program | 3220 Parkwood School Rd, Monroe, NC 28112-0001 | 2011-12-19 |
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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.