MS. SHANNA MARIE BALL (NPI# 1104324250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104324250 |
| Entity Type | Individual |
| Full Name | MS. SHANNA MARIE BALL |
| Other Name | LIFESTYLE: WELLNESS |
| Credential | C.M.T. |
| Practice Address |
4110 Sorrento Valley Blvd San Diego CA 92121-1429 |
| Mailing Address |
12548 Oak Knoll Rd Apt C21 Poway CA 92064-5494 |
| Practice Telephone | 8582469730 |
| Practice Fax Number | 8582469710 |
| Mailing Telephone | 9282160473 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 71862 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12548 Oak Knoll Rd Apt C21, Poway, CA 920645494 | 9282160473 | |
| 13514 Pomerado Rd Ste L, Poway, CA 920643517 | 8582435632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952721227 | Shanna Ball | Registered Nurse | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2014-04-24 |
| Street Address |
4110 SORRENTO VALLEY BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477674034 | Janis Kathleen Gruska | Naturopath | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2007-04-02 |
| 1265030431 | Heather Camille Rilling | Naturopath | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2020-10-11 |
| 1922614361 | Rubaina Dang | Naturopath | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2020-09-21 |
| 1073155677 | Emily Iris Angela Takeuchi Miller | Naturopath | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2019-10-15 |
| 1396387072 | Laura Kostrzewski | Naturopath | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2019-10-14 |
| 1881176337 | Chris T Farrelly | Naturopath | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2018-08-31 |
| 1376023853 | Kendall Rene Smith | Naturopath | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2018-08-15 |
| 1346750445 | Emaline Kay Brown | Naturopath | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2017-10-03 |
| 1316466980 | Genevieve Lara Price | Naturopath | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2017-09-15 |
| 1952837205 | Sharyl W Grayson | Massage Therapist | 4110 Sorrento Valley Blvd, San Diego, CA 92121-1429 | 2017-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1013517457 | Raman Khoshabeh | Massage Therapist | 12650 Sabre Springs Pkwy Ste 201, San Diego, CA 92128-4114 | 2020-10-26 |
| 1558969410 | Antonio Kinsey | Massage Therapist | 4070 Rosenda Ct Unit 217, San Diego, CA 92122-1954 | 2020-10-13 |
| 1689271298 | Ma. Luisa Garcia De Camacho | Massage Therapist | 1450 Market St Apt 449, San Diego, CA 92101-4160 | 2020-10-06 |
| 1427655034 | Svetlana Diakova | Massage Therapist | 3030 Suncrest Dr Unit 604, San Diego, CA 92116-1542 | 2020-10-06 |
| 1093312076 | Marilucia C Tolentino | Massage Therapist | 3141 Macaulay St, San Diego, CA 92106-1911 | 2020-10-02 |
| 1972110740 | Jessica Brooke Tavison | Massage Therapist | 3811 Marquette Pl Apt 4x, San Diego, CA 92106-1073 | 2020-09-25 |
| 1346856077 | Joshua Macias | Massage Therapist | 1441 9th Ave Unit 209, San Diego, CA 92101-8939 | 2020-09-18 |
| 1700492659 | Florence Yuko Casiez | Massage Therapist | 5898 Grewia St, San Diego, CA 92114-6620 | 2020-09-16 |
| 1932715968 | Tania Alvarez | Massage Therapist | 3972 Mississippi St, San Diego, CA 92104-2737 | 2020-09-15 |
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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.