SHANNON R DINGLE


Address: 5676 Riverdale Ave Ste 202, Bronx, NY 10471-2100
Phone: 7187965300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
616798 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NURSE PRACTITIONER LICENSE 402317 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2685 Creston Ave, Apt 6b, Bronx, NY 104683639 3475154542

Office Location

Street Address 5676 RIVERDALE AVE STE 202
City BRONX
State NY
Zip Code 10471-2100

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104468347 King Xia Registered Nurse 1653 Hubbell St, Bronx, NY 10461-2905 2019-10-09
1699316497 Zoey Luan Registered Nurse 89 Metropolitan Oval Apt 1e, Bronx, NY 10462-6411 2019-10-02
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
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Competitor

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City BRONX
Zip Code 10471

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Dataset Information

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.

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