SHANNON BLACK (NPI# 1063948248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063948248 |
| Entity Type | Individual |
| Full Name | SHANNON BLACK |
| Practice Address |
550 N Reo St Tampa FL 33609-1061 |
| Mailing Address |
2681 Roosevelt Blvd Apt 6107 Clearwater FL 33760-2962 |
| Practice Telephone | 8133742070 |
| Practice Fax Number | 8133370937 |
| Mailing Telephone | 3056195739 |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2017-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528448271 | Shannon Trice Black | Counselor | 1900 Manakin Rd Ste G, Manakin Sabot, VA 23103-2252 | 2015-06-08 |
| 1134413438 | Shannon Nichole Black | Chiropractor | 3803 Palmer Park Blvd, Suite B, Colorado Springs, CO 80909-2600 | 2011-06-03 |
| 1679595300 | Shannon L Black | Psychologist | 6120 Havelock Ave, Suite B, Lincoln, NE 68507-1278 | 2006-07-24 |
| 1528590031 | Shannon Black | Student in an Organized Health Care Education/Training Program | 60 Daggett Dr, San Jose, CA 95134-2108 | 2017-04-03 |
| 1649668567 | Shannon Elizabeth Black | Counselor | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2014-12-30 |
| 1629184213 | Shannon Black | Physical Therapist | 4100 Lake Otis Pkwy, Ste 106, Anchorage, AK 99508-5222 | 2006-08-23 |
| Street Address |
550 N REO ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659569580 | Elizabeth Acquaah-harrison | Speech-Language Pathologist | 550 N Reo St, Tampa, FL 33609-1061 | 2007-10-04 |
| 1669967717 | Lauren Munsell Kaltenbach | Behavioral Analyst | 550 N Reo St, Tampa, FL 33609-1061 | 2018-06-29 |
| 1548755978 | Dominique Thompson | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-06-27 |
| 1073002598 | Sharlene Lopez | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-05-10 |
| 1114416724 | Manuela Gonzalez | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-05-09 |
| 1003304171 | Shannon Wilson | Assistant Behavior Analyst | 550 N Reo St, Tampa, FL 33609-1061 | 2018-04-24 |
| 1891282794 | Emily Edgington Jean Edgington | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-04-16 |
| 1972006765 | Jennifer Rebecca Weyman | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-03-17 |
| 1174026322 | Ashley Anne Armstrong | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-03-14 |
| 1215439633 | Jessica S. Cordero | Developmental Therapist | 550 N Reo St, Tampa, FL 33609-1061 | 2018-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
| 1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
| 1720640097 | Olga Escobio Torres | Developmental Therapist | 9127 Post Oak Ct, Tampa, FL 33615-5725 | 2019-07-08 |
| 1881250314 | Marcela Herrera-bernardini | Developmental Therapist | 20434 Carolina Cherry Ct, Tampa, FL 33647-2982 | 2019-05-09 |
| 1457915910 | Leticia Pozas Jimenez | Developmental Therapist | 7114 W Creek Dr, Tampa, FL 33615-2308 | 2019-04-30 |
| 1225591266 | Kristin Lynn Edwards | Developmental Therapist | 808 N Franklin St Unit 1510, Tampa, FL 33602-3824 | 2019-04-08 |
| 1528525169 | Alberto M Enriquez Marin | Developmental Therapist | 10549 N Florida Ave Ste G, Tampa, FL 33612-6707 | 2019-03-01 |
| 1134698012 | Bradley Spear | Developmental Therapist | 10708 Preserve Lake Dr Apt 104, Tampa, FL 33626-4442 | 2018-11-20 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| Find all providers in TAMPA | ||||
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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.