SHANNON R DINGLE (NPI# 1982157137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982157137 |
Entity Type | Individual |
Full Name | SHANNON R DINGLE |
Credential | N.P. |
Practice Address |
5676 Riverdale Ave Ste 202 Bronx NY 10471-2100 |
Mailing Address |
2685 Creston Ave Apt 6b Bronx NY 10468-3639 |
Practice Telephone | 7187965300 |
Practice Fax Number | 7185481161 |
Enumeration Date | 2016-07-24 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
616798 | NY | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NURSE PRACTITIONER LICENSE | 402317 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2685 Creston Ave, Apt 6b, Bronx, NY 104683639 | 3475154542 |
Street Address |
5676 RIVERDALE AVE STE 202 |
City | BRONX |
State | NY |
Zip Code | 10471-2100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053693812 | Talia Trachtman | Social Worker | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2011-09-16 |
1609473610 | Camila De Vasconcelos | Counselor | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2020-10-02 |
1851925143 | Joanne Marie Leddy | Art Therapist | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2020-02-26 |
1518520980 | Paige Leigh Wootten | Counselor | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2019-04-20 |
1598228108 | Chaira Lopez | Social Worker | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2019-04-10 |
1336619105 | Melissa Bulman | Counselor | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2018-12-05 |
1982174496 | Marian Fiona Martin | Registered Nurse | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2018-11-27 |
1952885170 | Courtney Mcvicar | Counselor | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2018-09-24 |
1902380496 | Anjette Rostock | Social Worker | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2018-09-20 |
1720562218 | Lesly Arzu | Social Worker | 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100 | 2018-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
1124579529 | Joselyne Bararwandika | Registered Nurse | 385 W 263rd St, Bronx, NY 10471 | 2016-10-20 |
1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
1720443047 | The Hebrew Home for The Aged At Riverdale | Clinic/Center | 5901 Palisade Avenue, Riverdale, NY 10471 | 2015-12-31 |
1073989570 | Laura Maria Luciano | Social Worker | 5676 Riverdale Ave Suite 202, Riverdale Mental Health Association, Bronx, NY 10471 | 2015-08-19 |
1043607419 | Bianca Rodriguez | Social Worker | 6211 Broadway, 5h, Bronx, NY 10471 | 2015-04-23 |
1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
1891186045 | Maria Caceres | Radiologic Technologist | 216 Foster Pl, Bronx, NY 10471 | 2015-02-10 |
1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
1699101824 | Jaeyong Choi | Registered Nurse | 600 West 246th St., Apt 205, Bronx, NY 10471 | 2013-09-19 |
Find all providers in zip 10471 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
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1902982929 | Barbara A. Gallo | Registered Nurse | 3600 Jerome Avenue, Bronx, NY 10467-1052 | 2006-10-31 |
1205478179 | Beryl Pearl Nwachukwu | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-12 |
1275175192 | Alma Grace P. Oliva | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
1265074132 | Kechner Moise | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
1932741246 | Divina Gracia A Llanes | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-09 |
1376184895 | Myrtle Miller | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-06 |
1801437330 | Moira Ann Gately | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-06 |
1306487236 | Quang Nhat Nguyen | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-02 |
Find all providers in BRONX |
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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.