SHANNON PHILLIPS (NPI# 1023254067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023254067 |
| Entity Type | Individual |
| Full Name | SHANNON PHILLIPS |
| Practice Address |
1393 Bailey Drive Hanford CA 93230-5922 |
| Practice Telephone | 5595824481 |
| Mailing Telephone | 5595824481 |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT33296 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528531845 | Shannon Phillips | Technician | 215 Fitchburg St Sw, Palm Bay, FL 32908-1302 | 2019-01-09 |
| 1861962656 | Shannon Phillips | Speech-Language Pathologist | 2119 Pocomoke Beltway, Pocomoke City, MD 21851-3025 | 2018-12-05 |
| 1598268716 | Shannon Phillips | Nutritionist | 3687 E Geddes Ave, Centennial, CO 80122-2202 | 2018-03-14 |
| 1366864381 | Shannon Phillips | Rehabilitation Practitioner | 935 Cantabria Heights Ave, Las Vegas, NV 89183-4646 | 2014-01-10 |
| 1811969165 | Shannon E Phillips Jr. | Nurse Practitioner | 116 N. Houston St., Edgewood, TX 75117 | 2006-02-02 |
| 1134669401 | Shannon Phillips | Social Worker | 303 N Madison St, Corinth, MS 38834-5072 | 2017-03-06 |
| 1447607668 | Shannon Phillips | Case Manager/Care Coordinator | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-05-17 |
| 1245696228 | Shannon Phillips | Nurse Practitioner | 1701 S Florissant Rd, Saint Louis, MO 63121-1131 | 2016-01-06 |
| 1679949648 | Shannon Phillips | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-08-13 |
| 1710258678 | Shannon Elizabeth Phillips | Counselor | 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 | 2012-01-24 |
| Street Address |
1393 BAILEY DRIVE |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-5922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417046913 | Kings View Corporation | Community/Behavioral Health | 1393 Bailey Drive, Hanford, CA 93230 | 2006-10-12 |
| 1053924282 | Genoa Healthcare, LLC | Pharmacy | 1393 Bailey Drive, Suite 149, Hanford, CA 93230 | 2020-08-27 |
| 1497245336 | Kimberley Bassett | Marriage & Family Therapist | 1393 Bailey Drive, Hanford, CA 93230 | 2018-05-16 |
| 1194148320 | Amber Jamila Simmons | Counselor | 1393 Bailey Drive, Hanford, CA 93230-1526 | 2014-01-23 |
| 1194069799 | Marissa Jaclyn Valero | Counselor | 1393 Bailey Drive, Hanford, CA 93230 | 2012-11-20 |
| 1841435229 | Timothy M Dungan | Licensed Psychiatric Technician | 1393 Bailey Drive, Hanford, CA 93230-5922 | 2008-12-12 |
| 1356513295 | Elisha Henderson | Counselor | 1393 Bailey Drive, Hanford, CA 93230-5922 | 2008-04-01 |
| 1407028343 | Joyce Glaspie | Licensed Vocational Nurse | 1393 Bailey Drive, Hanford, CA 93230-5922 | 2008-04-01 |
| 1134391071 | Salvador Cervantes | Counselor | 1393 Bailey Drive, Hanford, CA 93230-5922 | 2008-04-01 |
| 1639341571 | Martha Rebecca Goodyear | Counselor | 1393 Bailey Drive, Hanford, CA 93230-5922 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1710391370 | Angela Myers | Licensed Psychiatric Technician | 817 W 7th St, Hanford, CA 93230-4925 | 2014-06-11 |
| 1700119930 | Abul Qasim | Licensed Psychiatric Technician | 441 Pepper Dr, Apt # B, Hanford, CA 93230-3329 | 2009-09-04 |
| 1619593498 | Marie Janelle Rodriguez | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2020-06-17 |
| 1629699533 | Minerva Garcia Acosta | Licensed Psychiatric Technician | 460 Kings County Dr Ste 101, Hanford, CA 93230-5953 | 2020-05-01 |
| 1861054066 | Danielle Ranee Bishop | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-07-08 |
| 1518431501 | Jeanette Solorio | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-01-14 |
| 1548751753 | Stefani Leora Hall | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2018-05-23 |
| 1669915385 | Sarah Katherine Powers | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2016-11-29 |
| Find all providers in HANFORD | ||||
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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.