Shannon L Hines (NPI# 1730345836, PAC ID# 5193076537) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1730345836 |
| PAC ID by PECOS | 5193076537 |
| Professional Enrollment ID | I20180924001682 |
| Full Name | Shannon L Hines |
| Organization Legal Name | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| Address |
3015 Wilson Ave Louisville KY 40211-1969 |
| Phone Number | 5027744401 |
| Gender | F |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1658268974 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3015 Wilson Ave, Louisville, KY 40211-1969 | 5027744401 | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| Organization Legal Name | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miasha Renee Crutchfield | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Kellye Singletary | Psychiatry | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Sharon S Jamison | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 |
| Christopher John Florio | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| James Jerome Robinson | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 |
| Romeo S Ambrosio | Obstetrics/gynecology | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Lauren Slone | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 |
| Lisa G Glass | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Dejuana N Frazier | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Erica Mahone | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Street Address |
3015 WILSON AVE |
| City | LOUISVILLE |
| State | KY |
| Zip | 40211-1969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miasha Renee Crutchfield | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Romeo S Ambrosio | Obstetrics/gynecology | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Lisa G Glass | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Dejuana N Frazier | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Gina M Beckford | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Kimberly E Mitchell | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Jean Bramer | Obstetrics/gynecology | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Fe N Briones | Internal Medicine | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Michelle L Davidson | Clinical Social Worker | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Borru M Liou | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia C Mahin | Family Practice | Jencare Neighborhood Medical Center West Broadway, LLC | 2406 W Broadway, Louisville, KY 40211-1008 |
| John W Arnett | Internal Medicine | Cypress Medical Associates, Psc | 2500 W Broadway, Suite 200, Louisville, KY 40211-1191 |
| Reeson Earl Flores | Chiropractic | 2500 W Broadway, Suite 500, Louisville, KY 40211-1194 | |
| Cicely M Hamilton | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Melissa Hines | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Arifa Siddiqui | Family Medicine | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Laretta V Dodson | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Fritz Moise | Family Practice | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Rebecca Pierson | Obstetrics/gynecology | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Krista G Roach | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Find all physicians in zip 40211 | |||
| City | LOUISVILLE |
| Zip Code | 40211 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LOUISVILLE + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.