Shannon Kathleen Anastasiadis is a Portland, Oregon based nurse practitioner with 24 years of experience in Pediatrics. She completed her graduation in 2001. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shannon Kathleen Anastasiadis is 202114832NP for Psych/Mental Health in Oregon. Her current practice location is 5415 Ne 38th Ave, Portland. Patients can reach her at 503-735-5230. Shannon Kathleen Anastasiadis is NP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1912050360. Shannon Kathleen Anastasiadis specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Shannon Kathleen Anastasiadis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7719012624
Enrollment ID:
I20100317000756
NPI Number:
1912050360
NPI Enumeration Date:
19 Jan, 2007
NPI Last Update On:
09 Feb, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Kathleen Anastasiadis are as mentioned below.
License Number
Specialization
State
Status
202114832NP
Psych/Mental Health
Oregon
Primary
200150083NP
Pediatrics
Oregon
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shannon Kathleen Anastasiadis is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mindful Support Services Inc (4981872561)
137
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shannon Kathleen Anastasiadis 5415 Ne 38th Ave, Portland, Oregon
Zip:
97211-8009
Phone Number:
503-735-5230
Patients can reach Shannon Kathleen Anastasiadis at 5415 Ne 38th Ave, Portland, Oregon or can call to book an appointment on 503-735-5230.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.