SHANNON MICHELLE LEE (NPI# 1114559069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114559069 |
| Entity Type | Individual |
| Full Name | SHANNON MICHELLE LEE |
| Practice Address |
200 Prospect St East Stroudsburg PA 18301-2956 |
| Mailing Address |
225 Montgomery Ave Souderton PA 18964-1504 |
| Practice Telephone | 2156220594 |
| Mailing Telephone | 2156220594 |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476789 | Shannon Marie Lee | Doula | 2917 Boulder Dr, West Des Moines, IA 50265-4154 | 2015-05-12 |
| 1316286859 | Shannon L Lee | Massage Therapist | 614 E Seltice Way Ste A, Post Falls, ID 83854-6367 | 2013-02-04 |
| 1083832497 | Shannon Lee | Perfusionist | 68 Harriet St, Apt 16, San Francisco, CA 94103-4093 | 2007-04-23 |
| 1760514939 | Shannon Lee | Marriage & Family Therapist | 3111 Los Feliz Blvd Ste 106, Los Angeles, CA 90039 | 2007-03-12 |
| 1811598196 | Shannon C. Lee | Behavior Technician | 7090 Samuel Morse Dr Ste 100, Columbia, MD 21046-3444 | 2020-11-04 |
| 1083232938 | Shannon Randa Lee | Nurse Practitioner | 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 2020-07-08 |
| 1114549151 | Shannon Nicole Lee | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-05-13 |
| 1710538616 | Shannon Jinho Lee | Pediatrics | 5901 Green Valley Cir Ste 130, Culver City, CA 90230-6900 | 2019-09-23 |
| 1558919449 | Shannon Eunhwa Lee | Optometrist | 3046 Knights Rd, Bensalem, PA 19020-2815 | 2019-09-03 |
| 1760038640 | Shannon Hyunji Lee | Speech-Language Pathologist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2019-08-15 |
| Street Address |
200 PROSPECT ST |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18301-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134141120 | Gerard D. Rozea | Specialist/Technologist | 200 Prospect St, 3 Kohler Fieldhouse University, East Stroudsburg, PA 18301 | 2006-07-25 |
| 1295349298 | Jennifer Ross | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-09-07 |
| 1497382915 | Jeremy Smith | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-03-25 |
| 1083246565 | Christian Bampton | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-12 |
| 1841822798 | Jordyn Wigglesworth | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-09 |
| 1609408558 | Ena-lynnette Bolling II | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-09 |
| 1578195491 | Sarah Kemp | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-08 |
| 1144852237 | Tyler Miller | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-07 |
| 1962034058 | Gina Marie Lobdell | Student in an Organized Health Care Education/Training Program | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-07 |
| 1598397689 | Christian A Cedeno | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346780962 | Sandra Viguers | Student in an Organized Health Care Education/Training Program | 108 Marguerite St, East Stroudsburg, PA 18301-2711 | 2017-03-01 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1649553769 | Rosalina Cintron | Student in an Organized Health Care Education/Training Program | 31 Gapview Heights Rd, East Stroudsburg, PA 18301-9239 | 2011-09-25 |
| 1962034058 | Gina Marie Lobdell | Student in an Organized Health Care Education/Training Program | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-07 |
| 1154953248 | Reinaldo Vega | Student in an Organized Health Care Education/Training Program | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-07 |
| 1558826602 | Chastity Giannia Morel-mirabal | Student in an Organized Health Care Education/Training Program | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2019-02-04 |
| 1275098329 | Jacob Harper | Student in an Organized Health Care Education/Training Program | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2019-02-04 |
| 1689139792 | Dynasty Laprade | Student in an Organized Health Care Education/Training Program | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2019-02-02 |
| 1881134641 | Bryan Suarez | Student in an Organized Health Care Education/Training Program | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2017-02-27 |
| 1275905549 | Chris Krupp | Student in an Organized Health Care Education/Training Program | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2015-10-27 |
| Find all providers in EAST STROUDSBURG | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18301 |
Please comment or provide details below to improve the information on SHANNON MICHELLE LEE.
| 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.