Shannon Cavacino-Stead, RN
Individual provider Active NPI Registered Nurse · Wilkinsburg, PA
NPI 1891544656 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1891544656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN786060 (PA)
- Practice address
- 225 Penn Ave
Wilkinsburg, PA 15221-2148 - Phone
- (412) 864-5300
- NPI assigned
- May 15, 2024
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN786060 | PA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN786060 | PA | Yes |
Addresses
Primary practice location
225 Penn Ave
Wilkinsburg, PA 15221-2148
Mailing address
323 West St
Pittsburgh, PA 15221-3340
Phone (412) 742-9055
Other providers in Wilkinsburg, PA
- Elaine Brown
- Alicia Ann Burkey
- Dayna Butler
- Hannah Butler
- Emily Byce
- Edward S Cheppa
- Christina Chukwuedo
- William T Conklin
- Elwin M Cotman
- Sheila Marie Craig
All providers in Wilkinsburg, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. 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.