MS. SUSAN KAY SHANNON (NPI# 1083172613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083172613 |
| Entity Type | Individual |
| Full Name | MS. SUSAN KAY SHANNON |
| Credential | CDP |
| Practice Address |
3629 S D St Tacoma WA 98418-6813 |
| Practice Telephone | 2537986576 |
| Mailing Telephone | 2537986576 |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9236 Renton Ave S, Seattle, WA 981185322 | 2067227152 | 2067220830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336326586 | Susan Marie Shannon | Registered Nurse | 711 Redfield Ln, Copley, OH 44321-2837 | 2008-01-29 |
| 1245417781 | Susan Lawton Shannon | Licensed Practical Nurse | 147 Cemetary Rd, Ogdensburg, NY 13669-4179 | 2008-01-28 |
| 1881785301 | Susan D Shannon | Advanced Practice Midwife | 50 America Rd, Sharon, CT 06069 | 2006-09-28 |
| 1588108781 | Susan Veronica Shannon | Nurse Practitioner | 2653 Elm Ave, Suite 200, Long Beach, CA 90806-1652 | 2016-12-07 |
| 1841549573 | Susan Coning Shannon | Social Worker | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2012-09-10 |
| 1568622942 | Susan Shannon | Occupational Therapist | 84 High St, Medford, MA 02155-3844 | 2008-06-10 |
| 1073706776 | Susan M Shannon | Occupational Therapist | 2675 Court Dr, Gastonia, NC 28054-1478 | 2007-08-25 |
| 1578785333 | Susan Shannon | Counselor | 1440 Russell Rd, Paoli, PA 19301-1236 | 2007-05-02 |
| 1619194727 | Susan Johnson Shannon | Registered Nurse | 157 Paragon Pkwy, Suite 800, Clyde, NC 28721-9481 | 2007-04-19 |
| 1205052826 | Susan Shannon | Counselor | 1202 W Civic Center Dr # 205, Santa Ana, CA 92703-2252 | 2007-04-18 |
| Street Address |
3629 S D ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98418-6813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346379427 | Tacoma-pierce County Health Department | Public Health or Welfare | 3629 S D St, Tacoma, WA 98418-6813 | 2007-03-05 |
| 1174136360 | Shanell Teona Brown | Registered Nurse | 3629 S D St, Tacoma, WA 98418-6813 | 2020-08-26 |
| 1245859743 | Malia Paranada | Registered Nurse | 3629 S D St, Tacoma, WA 98418-6813 | 2020-04-14 |
| 1568004885 | Jennifer Janice Boggs | Counselor | 3629 S D St, Tacoma, WA 98418-6813 | 2019-10-09 |
| 1629610977 | Ashley Callanan | Licensed Practical Nurse | 3629 S D St, Tacoma, WA 98418-6813 | 2019-10-08 |
| 1770135949 | Rebekah Carty | Registered Nurse | 3629 S D St, Tacoma, WA 98418-6813 | 2019-07-09 |
| 1750945630 | Arminda Gail Dichesare-bennett | Nurse's Aide | 3629 S D St, Tacoma, WA 98418-6813 | 2019-04-26 |
| 1124586136 | Erin Boyd | Counselor | 3629 S D St, Tacoma, WA 98418-6813 | 2019-03-08 |
| 1174095020 | John Lawrence Churchward Sr. | Counselor | 3629 S D St, Tacoma, WA 98418-6813 | 2018-12-17 |
| 1275008229 | David Ellis Carr II | Counselor | 3629 S D St, Tacoma, WA 98418-6813 | 2018-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240287 | Zindt Chiropractic Center Pllc | Chiropractor | 3819 S. M St., Tacoma, WA 98418 | 2020-03-19 |
| 1649756792 | Jaime Armenta | Counselor | Tacoma-pierce County Health Department, 3629 South D Street, Tacoma, WA 98418 | 2018-07-12 |
| 1407166655 | Wjm Dental Inc | Dentist | 4002 South M Street, Suite A, Tacoma, WA 98418 | 2010-10-20 |
| 1255453890 | Stephen Joseph Bauml | Chiropractor | 212 So 37th St, Tacoma, WA 98418 | 2007-04-04 |
| 1710015912 | Lincoln Pharmacy LLC | Pharmacy | 821b S 38th St, Tacoma, WA 98418 | 2007-03-01 |
| 1104961093 | Still Well Chiropractic Clinic Inc | Chiropractor | 4537 S Yakima, Tacoma, WA 98418 | 2007-02-20 |
| 1497813851 | Penelope S. Zindt | Chiropractor | 3819 So M, Tacoma, WA 98418 | 2006-12-05 |
| 1902987092 | Donna Leigh Daeschner | Dentist | 4001 So. Yakima Avenue, Tacoma, WA 98418 | 2006-10-17 |
| 1083622971 | Willie James Mccullum | Dentist | 4002 South 'm' Street, Suite A, Tacoma, WA 98418 | 2006-08-04 |
| 1871500322 | Michelle Gray Marconi | Chiropractor | 4537 So. Yakima Ave, Tacoma, WA 98418 | 2006-08-01 |
| Find all providers in zip 98418 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
| 1376140541 | Debra Tone | Counselor | 1219 Earnest Brazill St, Tacoma, WA 98405-4025 | 2020-10-01 |
| 1881201028 | Dallas Renae Neighbors | Counselor | 711 S 25th St Ste B, Tacoma, WA 98405-4306 | 2020-09-30 |
| 1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
| 1740751668 | Jay Yourglich | Counselor | 3315 S 23rd St Ste 102, Tacoma, WA 98405-1615 | 2018-12-17 |
| 1407327927 | Lewis A Wilson | Counselor | 721 Fawcett Ave Ste 201, Tacoma, WA 98402-5502 | 2018-12-10 |
| 1386113207 | Patricia A Neagle | Counselor | 2316 S State St Ste B, Tacoma, WA 98405-2813 | 2018-11-20 |
| 1457829343 | Ron Rn Wilkins | Counselor | 721 Fawcett Ave Ste 102, Tacoma, WA 98402-5502 | 2018-11-08 |
| 1275001620 | Matthew Mixon | Counselor | 15318 14th Avenue Ct E, Tacoma, WA 98445-2496 | 2018-11-04 |
| 1124593017 | Elisa Marie Matthews | Counselor | 5315 S Orchard St, Tacoma, WA 98467-3686 | 2018-10-08 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on MS. SUSAN KAY SHANNON.
| 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.