Shannon Kay Shoemaker
Individual provider Active NPI Registered Nurse · Burlington, KY
NPI 1245019884 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1245019884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1083219 (KY)
- Practice address
- 7247 E Bend Rd
Burlington, KY 41005-9633 - Phone
- (859) 630-6838
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1083219 | KY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1083219 | KY | Yes |
Addresses
Primary practice location
7247 E Bend Rd
Burlington, KY 41005-9633
Mailing address
7247 E Bend Rd
Burlington, KY 41005-9633
Phone (859) 630-6838
Other providers in Burlington, KY
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- Andrea Spaulding
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All providers in Burlington, KY · Registered Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.