Shannon Marie Quinerly, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

298488 Issued in NC

Practice address

101 S Pointe Dr # B
Winterville, NC 28590-9947

Phone

(252) 364-6790

NPI assigned

Feb 4, 2022

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faithmobile Testing LLC

  • Clinical Medical Laboratory
  • Winterville, NC
  • NPI 1467106740
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1669126025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S POINTE DR # B",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909947",
            "telephone_number": "252-364-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S POINTE DR # B",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909947",
            "telephone_number": "252-364-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINERLY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NC",
            "license": "298488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinehaven Home Health Care Services Inc
• Pitt County Group Home Board for Mentally Retarded, Autistic Persons,
• Maya Mitchell Pittman, LCMHCS
• Port Health Services
• Katheryne Potts
• Lydia Randolph, LCSW
• Reach Out Support Services
• Recovery & Transformed
• Kelsey Reilly
• Renae B Kosha, DDS, PLLC (Good Vibes Dentistry)

• Medical-Surgical Registered Nurse in Winterville, NC
• Providers in Winterville, NC by specialty
• Medical-Surgical Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.