MEAGHAN SHANNON (NPI# 1013405828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013405828 |
| Entity Type | Individual |
| Full Name | MEAGHAN SHANNON |
| Practice Address |
16811 Southwest Fwy Sugar Land TX 77479-4728 |
| Mailing Address |
600 Studemont St Apt 3437 Houston TX 77007-4968 |
| Practice Telephone | 2816097547 |
| Mailing Telephone | 8133854252 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL4379 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT6909 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSED ATHLETIC TRAINER | AL4379 | 01 |
| BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER | 2000019902 | 01 | |
| TX | LICENSED ATHLETIC TRAINER | AT6909 | 01 |
| Street Address |
16811 SOUTHWEST FWY |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963834 | Thomas B Rivers | Orthopaedic Surgery | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2005-06-22 |
| 1679040331 | Mckenna Jo Merten | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2018-10-30 |
| 1669923728 | Adalie Raymis | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2016-10-24 |
| 1821458563 | Melissa Odell | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479-4728 | 2016-02-23 |
| 1063889475 | Jamie Nicole Radley | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2015-09-01 |
| 1053668061 | Christina M Placker | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2012-08-08 |
| 1518214956 | Kyle Borque | Orthopaedic Surgery | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2012-08-03 |
| 1215226303 | Elton Chen | Internal Medicine | 16811 Southwest Fwy, Suite 300, Sugar Land, TX 77479-4728 | 2011-03-30 |
| 1700108685 | Stephen George Melancon | Specialist/Technologist | 16811 Southwest Fwy, Suite #200, Sugar Land, TX 77479-4728 | 2010-02-19 |
| 1336370527 | Donald Dean Dominy IIi | Orthopaedic Surgery | 16811 Southwest Fwy, Sugar Land, TX 77479-4728 | 2009-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696325 | Brooke Kelly Hales | Specialist/Technologist | 16811 Southwest Fwy Ste 110, Sugar Land, TX 77479-4728 | 2018-04-20 |
| 1922516624 | Zakia Tillis | Specialist/Technologist | 3527 Highway 6 Ste 120, Sugar Land, TX 77478-4520 | 2018-01-16 |
| 1205283843 | Shannon Medina | Specialist/Technologist | 16906 Driver Ln, Sugar Land, TX 77498-4681 | 2016-05-23 |
| 1962865592 | Sarah Mccaslin | Specialist/Technologist | 4200 Elkins Rd, Sugar Land, TX 77479-2403 | 2016-03-31 |
| 1558724179 | John David Houston Jr. | Specialist/Technologist | 635 Presley Way, Sugar Land, TX 77479-5274 | 2016-03-31 |
| 1316364540 | Kara Sylvester | Specialist/Technologist | 14777 Voss Rd, Sugar Land, TX 77498-2125 | 2014-03-26 |
| 1679843007 | Andrea Gonzalez | Specialist/Technologist | 2819 Pecan Ridge Dr, Sugar Land, TX 77479-1539 | 2012-01-02 |
| 1720399215 | Shama Tharwani | Specialist/Technologist | 10111 Sugarbridge Trl, Sugar Land, TX 77498-4073 | 2010-06-29 |
| 1427214808 | Melissa Michelle Spriggs | Specialist/Technologist | 16811 Southwest Fwy Ste 200, Sugar Land, TX 77479-4728 | 2008-08-05 |
| 1932236932 | Kevin Hines Bastin | Specialist/Technologist | 4402 Danbury Ln, Sugar Land, TX 77479-3821 | 2007-02-27 |
| Find all providers in SUGAR LAND | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
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| 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.