Shandry L Peugeot
Nurse Practitioner (Adult Health)

Address: 3601 Cci Drive, Huntsville, AL 35805-2606
Phone: 2567054224

Shandry L Peugeot (NPI# 1184855629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1184855629
Entity Type Individual
Full Name Shandry L Peugeot
Credential RN
Gender Female
Practice Address 3601 Cci Drive
Huntsville
AL 35805-2606
Practice Telephone 2567054224
Practice Fax Number 2567054135
Mailing Address P.o. Box 18428
Huntsville
AL 35804-8428
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2009-07-31
Last Update Date 2012-12-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers 1-108205 AL

Other Provider Identifier

State Identifier Issuer Type Code
E359 OTHER MEDICARE
AL 510-50070 OTHER BLUE CROSS GROUP NO.

Physician Overview

NPI 1184855629
PAC ID by PECOS 3173775988
Professional Enrollment ID I20121130000132
Full Name Shandry Peugeot
Organization Legal Name ONCOLOGY SPECIALTIES, P.C.
Phone Number 2567131200
Gender F
Medical School VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1254328495
Number of Group Practice Members 33
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
010039 HUNTSVILLE HOSPITAL
010079 ATHENS LIMESTONE HOSPITAL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_67_1 Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow 100%
PQRS_EP_71_1 Breast Cancer: Hormonal Therapy for Stage IC - IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer 100%

Office Location

Street Address 3601 CCI DRIVE
City HUNTSVILLE
State AL
Zip Code 35805-2606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023098571 Tennessee Valley Gynecologic Oncology, PC Obstetrics & Gynecology 3601 Cci Drive, Suite 220, Huntsville, AL 35805 2006-01-20
1043532930 Tennessee Valley Gynecologic Oncology Associates Clinic/Center 3601 Cci Drive, Suite 220, Huntsville, AL 35805-2610 2010-02-19
1689805129 Deborah J. Ding Registered Nurse 3601 Cci Drive, Huntsville, AL 35805-2606 2009-07-31
1003964362 Elizabeth Anne Cumbie Nurse Practitioner 3601 Cci Drive, Huntsville, AL 35805 2007-01-05
1962427104 The Center for Cancer Care, PC Specialist 3601 Cci Drive, Huntsville, AL 35805-6455 2006-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871015479 Kathryn Renee Garcia Nurse Practitioner 2806 Artie Street Sw, Unit 3, Huntsville, AL 35805 2017-07-14
1356885362 Valley Spine and Pain LLC Physical Medicine & Rehabilitation 2227 Drake Ave Sw Ste 7b, Huntsville, AL 35805 2016-12-09
1518325612 Candace Ann Hatcher Speech-Language Pathologist 411 Mcallister Drive Sw, Huntsville, AL 35805 2016-02-03
1073799862 Landmark Chiropractic, Inc. Chiropractor 2400 Bob Wallas Avenue, Suite 101, Huntsville, AL 35805 2008-01-11
1194937862 Sara Mirza Family Medicine 500 Markaview Rd. Nw, Huntsville, AL 35805 2007-05-04
1548308679 Claudia Elisabetta Agnew Physician Assistant 3601 Cci Dr., Huntsville, AL 35805 2007-02-01
1376613745 North Alabama Pet Scan LLC Radiologic Technologist 3601 Cci Drive Nw, Huntsville, AL 35805 2006-11-09
1821028325 Tracy Glen Bagwell Chiropractor 2227 Drake Avenue, Suite 13, Huntsville, AL 35805 2006-07-03
1982667788 Norman A. Sabio Internal Medicine 2103 Drake Ave, Sw, Huntsville, AL 35805 2006-04-11
1225004617 Maria Cristina Sabio Pediatrics 2103 Drake Ave Sw, Huntsville, AL 35805 2006-02-24
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942744719 Seung Taek Lim Nurse Practitioner 264 Farm To Market 3478, Huntsville, TX 77320-3320 2016-12-13
1942640024 Linore Sara Bouska Nurse Practitioner 1002 Explorer Blvd Nw, Huntsville, AL 35806-2806 2013-07-03
1225370380 Claudia Linda Acreman Nurse Practitioner 228 Holmes Ave Ne, Suite 900 E, Huntsville, AL 35801-4837 2013-03-26
1245508860 Delicia Hodge Nurse Practitioner 102 Pearle Cove Dr, Huntsville, AL 35806-4243 2011-12-09
1295862688 Arlene Luvalle Johnson Nurse Practitioner 4920 University Sq, Huntsville, AL 35816-1828 2007-02-27
1477542504 Gregory C Gore Nurse Practitioner 201 Governors Dr Sw Ste 400, Huntsville, AL 35801-5183 2005-10-20
1154823581 Kelley Mcqueen Strain Nurse Practitioner 101 Sivley Rd Sw, Huntsville, AL 35801-4421 2018-03-01
1568962827 Lisa Jean Bailey Nurse Practitioner 101 Sivley Rd Sw, Huntsville, AL 35801-4421 2018-02-13
1548788813 Rachel Kummer Nurse Practitioner 101 Sivley Rd Sw, Huntsville, AL 35801-4421 2017-09-06
1376097113 Todd K Pridmore Nurse Practitioner 927 Franklin St Se, Huntsville, AL 35801-4306 2016-08-10
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Competitor

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City HUNTSVILLE
Zip Code 35805

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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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