SHANNON OWENS (NPI# 1174988281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174988281 |
| Entity Type | Individual |
| Full Name | SHANNON OWENS |
| Practice Address |
1012 W Columbia St Farmington MO 63640-2902 |
| Mailing Address |
565 High Ave Saint Louis MO 63126-1423 |
| Practice Telephone | 3146062422 |
| Mailing Telephone | 3146062422 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2015027396 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2015027396 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963652 | Shannon Victoria Owens | Technician | 1349 W Horizon Ridge Pkwy Apt 418, Henderson, NV 89012-2467 | 2019-07-12 |
| 1922443654 | Shannon Kaye Owens | Counselor | 10289 S Eli Rd, Coleman, OK 73432-8705 | 2013-05-08 |
| 1770771495 | Shannon Edward Owens | Dentist | 1130 South Hwy 89, Jackson, WY 83001-0628 | 2007-10-09 |
| 1790819159 | Shannon Owens | Counselor | 4025 W 226th St, Torrance, CA 90505-2340 | 2007-03-15 |
| Street Address |
1012 W COLUMBIA ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972832137 | George Okey Robertson | Dentist | 1012 W Columbia St, Farmington, MO 63640-2902 | 2009-12-17 |
| 1942774500 | Angela Marie Webb | Psychologist | 1012 W Columbia St, Farmington, MO 63640-2914 | 2019-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568777530 | Jacqueline Del Val | Nurse Practitioner | 622 W Maple St Ste F, Farmington, NM 87401-6589 | 2010-08-13 |
| 1841459062 | Theresa L Hart | Nurse Practitioner | 6172 Fawn Meadow St, Farmington, NY 14425-1115 | 2008-06-03 |
| 1114922069 | Courtney Danielle Holmes | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2005-06-16 |
| 1891394995 | Ewa Jaszczolt | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-20 |
| 1285286757 | Lauren Elizabeth Varanelli | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-0001 | 2019-07-15 |
| 1124505714 | Angela Marie Virella | Nurse Practitioner | 10 Talcott Notch, Farmington, CT 06032 | 2018-07-26 |
| 1639668221 | Zenna E Bell | Nurse Practitioner | 501 Farmington Ave, Farmington, CT 06032-1901 | 2018-05-09 |
| 1326412065 | Olga M Nesta | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8040 | 2015-11-18 |
| 1902203037 | Leslie Margot Lindgren | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8082 | 2014-12-04 |
| 1902240039 | Ruchi Sharma | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2013-04-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.