SHANNON BROOKE BRISCOE


Address: 311 Shady Fork Rd, Southside, WV 25187-8891
Phone: 3048123925

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Providers SHANNON BRISCOE

NPI Name Taxonomy Address Enumeration
1861007197 Shannon Briscoe Speech-Language Pathologist 301 Corporate Drive, Suite 101, Knoxville, TN 37923-4690 2020-09-14

Office Location

Street Address 311 SHADY FORK RD
City SOUTHSIDE
State WV
Zip Code 25187-8891

Providers in the same zip code

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

Providers in the same city

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 Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SOUTHSIDE
Zip Code 25187

Improve Information

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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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