Shannon Heavey
Shannon Oczkowski · Nurse Practitioner (Psychiatric/Mental Health)

Address: 1555 Elm St, Manchester, NH 03101-1203
Phone: 6036684111

Shannon Heavey (NPI# 1912067034) 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) 1912067034
Entity Type Individual
Full Name Shannon Heavey
Other Name Shannon Oczkowski
Credential APRN
Gender Female
Practice Address 1555 Elm St
Manchester
NH 03101-1203
Practice Telephone 6036684111
Practice Fax Number 6036287757
Mailing Address 401 Cypress St
Manchester
NH 03103-3628
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-12-11
Last Update Date 2014-11-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163WP0808X Registered Nurse · Psychiatric/Mental Health Nursing Service Providers 059741-21 NH
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers 059741-23 NH

Physician Overview

NPI 1912067034
PAC ID by PECOS 0840411070
Professional Enrollment ID I20141031001014
Full Name Shannon L Heavey
Organization Legal Name SOUTHERN NEW HAMPSHIRE MEDICAL CENTER
Phone Number 6035777863
Gender F
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4981680048
Number of Group Practice Members 8
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
300020 SOUTHERN NH MEDICAL CENTER

Office Location

Street Address 1555 ELM ST
City MANCHESTER
State NH
Zip Code 03101-1203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639246978 Darlene Lombardi Counselor 1555 Elm St, Manchester, NH 03101-1203 2006-11-30
1063984961 Georgina Temeng Specialist 1555 Elm St, Manchester, NH 03101-1203 2018-12-18
1154892057 Nicholas Bickford Peer Specialist 1555 Elm St, Manchester, NH 03101-1203 2018-12-17
1508345281 Siobhan Fuller Specialist 1555 Elm St, Manchester, NH 03101-1203 2018-08-13
1407334006 Emily Mclaughlin Specialist 1555 Elm St, Manchester, NH 03101-1203 2018-08-06
1427536036 Natalie Riddel Specialist 1555 Elm St, Manchester, NH 03101-1203 2018-08-06
1881170652 Ebony Sullivan Peer Specialist 1555 Elm St, Manchester, NH 03101-1203 2018-07-16
1639665169 John Peterson Social Worker 1555 Elm St, Manchester, NH 03101-1203 2018-07-09
1144710344 Joshua L Perham Specialist 1555 Elm St, Manchester, NH 03101-1203 2018-05-14
1629566260 James Ganley Specialist 1555 Elm St, Manchester, NH 03101-1203 2018-04-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003320425 Miranda Sherburne Occupational Therapist 470 Pine Street, Manchester, NH 03101 2017-11-21
1396266938 Juliette W Daniels Social Worker 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 2017-07-05
1851820450 Samantha Ysabelle Kattiria Specialist/Technologist 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 2017-06-07
1578946786 Reta Goldman Counselor 25 Lowell St Ste 208, Manchester, NH 03101 2015-07-07
1306239207 Myra Jean Nikitas Dental Hygienist 97 West Merrimack Street, Manchester, NH 03101 2015-03-17
1902234586 Judith Patrick Ronshagen Pharmacist 175 Queen City Avenue, Ste 1, Manchester, NH 03101 2013-10-17
1942566336 Elizabeth Zavagnin Case Manager/Care Coordinator 2 Wall St Ste 200, Manchester, NH 03101 2012-04-10
1538463088 William Gerald Mccormick Pharmacist 175 Queen City Ave, Manchester, NH 03101 2010-12-27
1215241799 Melissa Ann Dinoto Counselor 20 Market St., Manchester, NH 03101 2010-07-27
1164750873 Monarch Therapeutic Massage, LLC Massage Therapist 30 Amherst St, #1, Manchester, NH 03101 2009-11-19
Find all providers in zip 03101

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821575929 Maria D. Ruiz Nurse Practitioner 25 Middle Tpke W, Manchester, CT 06040-4045 2018-07-23
1881104826 Progressive Psychiatric Services, Pllc Nurse Practitioner 771 Chestnut Street, Manchester, NH 03104-3011 2017-10-04
1699134445 Amer Nabil Nurse Practitioner 186 Tudor Ln, Apt H, Manchester, CT 06042-2155 2016-02-22
1689045338 Pat Buth Nurse Practitioner 111 Amherst Dr, Manchester, CT 06042-8543 2015-10-07
1851472427 Rodney C Patterson Nurse Practitioner 715 Big Oak Dr, Manchester, TN 37355-7808 2006-10-18
1932121340 Barbara D. Steele Nurse Practitioner 913 Elm St, Suite 511, Manchester, NH 03101-2005 2006-07-24
1275599094 Cynthia Wolz Nurse Practitioner 9 Blodget St, Manchester, NH 03104-3598 2006-04-21
1144289463 Jodi A. Carner-higgins Nurse Practitioner 445 Cypress Street, Suite 8, Manchester Counseling Services, Manchester, NH 03103 2006-03-23
1659368595 Susan R Kelly Nurse Practitioner 30 Canton St., Suite 13, Manchester, NH 03103 2005-10-05
1699773762 Mary Anne Zeh Nurse Practitioner 935 Main St, Suite C2, Manchester, CT 06040-6050 2005-07-12
Find all providers in MANCHESTER

Competitor

Search similar providers

City MANCHESTER
Zip Code 03101

Improve Information

Please comment or provide details below to improve the information on Shannon Heavey.

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.

Trending Searches