SHANNON SISTRUNK (NPI# 1154860260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154860260 |
| Entity Type | Individual |
| Full Name | SHANNON SISTRUNK |
| Practice Address |
1921 Anns Rd Pahrump NV 89048-4279 |
| Practice Telephone | 7757647667 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1921 ANNS RD |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-4279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626094 | Dexter L Mcdonald Jr. | Rehabilitation Practitioner | 2280 E Calvada Blvd Ste 101, Pahrump, NV 89048-5846 | 2018-04-17 |
| 1417456781 | Sarah Oliver | Rehabilitation Practitioner | 2340 E Calvada Blvd Ste F, Pahrump, NV 89048-6099 | 2018-02-01 |
| 1194231902 | Abel Maldonado | Rehabilitation Practitioner | 3321 N David St, Pahrump, NV 89060-2410 | 2017-12-17 |
| 1265975429 | Erica Johnston | Rehabilitation Practitioner | 1911 Mcmurray Dr, Pahrump, NV 89060 | 2016-11-21 |
| 1396196630 | Timothy Vanname | Rehabilitation Practitioner | 4697 S Adriano Way, Pahrump, NV 89061-7587 | 2016-06-28 |
| 1144684770 | Lisa Goins | Rehabilitation Practitioner | 1801 Irons, Pahrump, NV 89048-4581 | 2016-04-10 |
| 1205294436 | Guillermo Osiel Rodriguez Lopez | Rehabilitation Practitioner | 1140 Piltz Rd, Pahrump, NV 89060-4103 | 2016-02-02 |
| 1508235227 | Alan Rodriguez | Rehabilitation Practitioner | 3261 Paiute Blvd, Pahrump, NV 89061-8582 | 2015-09-23 |
| 1891182747 | Darrel Nolen | Rehabilitation Practitioner | 2530 Tough Boy Rd Spc 8, Pahrump, NV 89060-5208 | 2015-04-17 |
| 1487042685 | Beatrice Robinson | Rehabilitation Practitioner | 6650 Surrey Ln, Pahrump, NV 89048-7612 | 2014-12-23 |
| Find all providers in PAHRUMP | ||||
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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.