SHANNON BROOKE BRISCOE (NPI# 1013528033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013528033 |
| Entity Type | Individual |
| Full Name | SHANNON BROOKE BRISCOE |
| Practice Address |
311 Shady Fork Rd Southside WV 25187-8891 |
| Practice Telephone | 3048123925 |
| Mailing Telephone | 3048123925 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007197 | Shannon Briscoe | Speech-Language Pathologist | 301 Corporate Drive, Suite 101, Knoxville, TN 37923-4690 | 2020-09-14 |
| Street Address |
311 SHADY FORK RD |
| City | SOUTHSIDE |
| State | WV |
| Zip Code | 25187-8891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457114 | Samantha R Birchfield | Technician | 174 Jeffers Ridge, Southside, WV 25187 | 2020-08-14 |
| 1205150331 | Julie Erin Lowe | Speech-Language Pathologist | 28316 Kanawha Valley Rd, Southside, WV 25187-8684 | 2010-03-18 |
| 1730793951 | Gabrielle Lynn Mccarthy | Technician | 851 Shady Fork Rd, Southside, WV 25187-9778 | 2020-09-04 |
| 1871193110 | Pamela Lewis | Technician | 1838 Cornstalk Rd, Southside, WV 25187-9791 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193110 | Pamela Lewis | Technician | 1838 Cornstalk Rd, Southside, WV 25187-9791 | 2020-10-27 |
| 1730793951 | Gabrielle Lynn Mccarthy | Technician | 851 Shady Fork Rd, Southside, WV 25187-9778 | 2020-09-04 |
| 1306457114 | Samantha R Birchfield | Technician | 174 Jeffers Ridge, Southside, WV 25187 | 2020-08-14 |
| 1265058804 | Stephanie A Moser | Nurse Practitioner | 36 Red Bud Dr, Southside, AR 72501-8049 | 2020-06-19 |
| 1528622339 | Sherry L Ghavassi | Massage Therapist | 1138 Highway 77, Southside, AL 35907-0404 | 2019-04-26 |
| 1073010138 | Lori Ann Steele | Nurse Practitioner | 2319 Batesville Blvd, Southside, AR 72501-7768 | 2018-04-06 |
| 1851897920 | Isbell Counseling, LLC | Clinic/Center | 2415 Waid Cir N, Southside, AL 35907-7043 | 2018-04-05 |
| 1346759438 | Mindy Beth O'bryant | Nurse Practitioner | 3907 Hood Dr, Southside, AL 35907-7096 | 2017-09-21 |
| 1508383704 | Kara Rasberry Brooks | Counselor | 1910 Blake Dr, Southside, AL 35907-5259 | 2017-08-28 |
| 1336687078 | Gina Bolton Farley | Nurse Practitioner | 5895 Katherine St, Southside, AL 35907-0005 | 2017-02-02 |
| Find all providers in SOUTHSIDE | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193110 | Pamela Lewis | Technician | 1838 Cornstalk Rd, Southside, WV 25187-9791 | 2020-10-27 |
| 1730793951 | Gabrielle Lynn Mccarthy | Technician | 851 Shady Fork Rd, Southside, WV 25187-9778 | 2020-09-04 |
| 1306457114 | Samantha R Birchfield | Technician | 174 Jeffers Ridge, Southside, WV 25187 | 2020-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
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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.