MRS. SHANNON MOYE DOUTHAT (NPI# 1164929576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164929576 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MOYE DOUTHAT |
| Credential | EDS. , M.S. |
| Practice Address |
151 School Rd Pearisburg VA 24134-2134 |
| Practice Telephone | 5409211421 |
| Practice Fax Number | 5409211424 |
| Mailing Telephone | 5409211421 |
| Mailing Fax Number | 5409211424 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0813000154 | VA | Behavioral Health & Social Service Providers |
| Street Address |
151 SCHOOL RD |
| City | PEARISBURG |
| State | VA |
| Zip Code | 24134-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356361737 | Giles County Public Schools | Local Education Agency (LEA) | 151 School Rd, Pearisburg, VA 24134-2134 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447239348 | James Robert Smith | Emergency Medicine | 6 Taylor Ave., Pearisburg, VA 24134 | 2006-01-10 |
| 1386124386 | Jessica Lee Furrow | Nurse Practitioner | 159 Hartley Way, Pearisburg, VA 24134 | 2018-08-19 |
| 1780066837 | Cassandra Marie Mccoy | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134 | 2015-06-25 |
| 1326387754 | Clarity Eye Care, Plc | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2013-02-05 |
| 1235418302 | Angela Renae Lilly | Nurse Practitioner | 430 Boxwood Ln, Pearisburg, VA 24134 | 2011-08-08 |
| 1316238546 | Be Active Physical Therapy Inc | Physical Therapist | 203 North Main St, Pearisburg, VA 24134 | 2011-04-21 |
| 1073816278 | Jonathan M Marshall | Nurse Anesthetist, Certified Registered | 159 Hartley Way, Pearisburg, VA 24134 | 2010-12-09 |
| 1972788610 | Helen Jacqueline Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-12-31 |
| 1740478403 | Nickolas Wilson Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-10-09 |
| 1962460477 | Darla Gay Whitehead | Physical Therapist | 203 North Main Street, Pearisburg, VA 24134 | 2006-05-03 |
| Find all providers in zip 24134 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299461 | Shelly Liaros | Psychologist | 405 Grafton Dr, Yorktown, VA 23692-2155 | 2020-09-10 |
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1346853165 | Laura Meghan O'malley | Psychologist | 300 Apollo Ave, Danville, VA 24540-4227 | 2020-08-31 |
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1205467891 | Jennifer Molepske | Psychologist | 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 | 2020-01-31 |
| 1811538077 | Brittany Lee Gill | Psychologist | 3005 Clarke Dr, Virginia Beach, VA 23456-7919 | 2019-09-30 |
| 1467002915 | Michelyn Cynthia Kemp | Psychologist | 4656 Noland Blvd, Williamsburg, VA 23188-7587 | 2019-09-17 |
| 1851948830 | Kyle Jacob Maziarski | Psychologist | 100 Panther Dr, Fredericksburg, VA 22406-7473 | 2019-08-23 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
| City | PEARISBURG |
| Zip Code | 24134 |
Please comment or provide details below to improve the information on MRS. SHANNON MOYE DOUTHAT.
| 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.