SHANNON M LEWIS (NPI# 1194173708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194173708 |
| Entity Type | Individual |
| Full Name | SHANNON M LEWIS |
| Credential | CADC |
| Practice Address |
501 Sw Ankeny Rd Ankeny IA 50023-9702 |
| Practice Telephone | 5152892272 |
| Practice Fax Number | 5152890126 |
| Mailing Telephone | 5152892272 |
| Mailing Fax Number | 5152890126 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16075 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003277849 | Shannon Lewis | Counselor | 2011 Foucher St, New Orleans, LA 70115-5345 | 2016-03-07 |
| 1891797692 | Shannon M. Lewis | Dentist | 2900 N Kelly Ave, Edmond, OK 73003-3233 | 2005-08-11 |
| 1922633361 | Shannon Marie Lewis | Registered Nurse | 1075 E Hudson Blvd, Gastonia, NC 28054-1694 | 2020-03-05 |
| 1942830781 | Shannon Lewis | Nurse Practitioner | 1015 Montlimar Dr, Mobile, AL 36609-1713 | 2020-01-21 |
| 1831739085 | Shannon K Lewis | Case Manager/Care Coordinator | 151 Centennial Ave, Piscataway, NJ 08854-3907 | 2020-01-15 |
| 1720640402 | Shannon Michelle Lewis | Student in an Organized Health Care Education/Training Program | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2019-07-02 |
| 1811552060 | Shannon Faye Lewis | Licensed Practical Nurse | 213 Midland Blvd, Shelbyville, KY 40065-7791 | 2019-05-03 |
| 1730743063 | Shannon R Lewis | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2019-04-22 |
| 1659882736 | Shannon Rose Lewis | Nurse Practitioner | 7343 Lake St, River Forest, IL 60305 | 2017-10-17 |
| 1225399413 | Shannon Lewis | Chiropractor | 3460 Summit Ridge Pkwy Ste 103, Duluth, GA 30096-1623 | 2012-06-04 |
| Street Address |
501 SW ANKENY RD |
| City | ANKENY |
| State | IA |
| Zip Code | 50023-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134284185 | John Terry Fandrich | Social Worker | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2006-12-27 |
| 1477162881 | Laura Ann Van Roekel | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2020-07-31 |
| 1417503954 | Carmen Teresa Caruso | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2019-08-12 |
| 1568930444 | Lauren Mackenzie Martin | Marriage & Family Therapist | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2018-11-08 |
| 1447742309 | Jenna Pattee | Social Worker | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2018-06-05 |
| 1235638628 | Heather Hastings | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023 | 2018-02-12 |
| 1629577457 | Emily Marie Trei | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023 | 2018-02-07 |
| 1609302439 | Amber Wilkins | Social Worker | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2017-05-11 |
| 1063959880 | Cabrie Joylyn Claiser | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2017-01-31 |
| 1992155584 | Kathryn S Miller | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
| 1104457126 | Achieve Tms Centers Central PC | Psychiatry & Neurology | 1517 N. Ankeny Blvd., Suite E, Ankeny, IA 50023 | 2020-01-29 |
| 1023663994 | Janet Lynn Rieckhoff | Counselor | 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 | 2019-08-07 |
| 1790344158 | Jacquelyn Olson Leech | Counselor | 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 | 2019-06-10 |
| 1063077717 | Benjamin Kohler | Chiropractor | 1201 Sw State St, Suite 101, Ankeny, IA 50023 | 2019-05-08 |
| 1831657857 | Michael E Mcinroy | Counselor | 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 | 2019-03-08 |
| 1396231825 | Catherine Walters | Counselor | 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 | 2018-07-09 |
| 1053804617 | Ankeny Family Counseling | Counselor | 2301 W. 1st St. #4, Ankeny, IA 50023 | 2018-06-08 |
| 1952831521 | Michael Weston Sinklier | Family Medicine | 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 | 2017-06-15 |
| Find all providers in zip 50023 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730734187 | Tiffany E Heth | Counselor | 1555 Se Delaware Ave Ste M, Ankeny, IA 50021-4011 | 2019-08-02 |
| 1114391828 | Kevin Bradford | Counselor | 1607 Nw Prairie Lakes Dr, Unit 212, Ankeny, IA 50023-4819 | 2015-11-18 |
| 1992126734 | Kristen Nowak | Counselor | 3063 Nw 75th Place, Ankeny, IA 50023 | 2013-12-20 |
| 1790912517 | Vicki Davis | Counselor | 1138 Se Mill Pond Ct, Ankeny, IA 50021-6544 | 2009-06-18 |
| 1235638628 | Heather Hastings | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023 | 2018-02-12 |
| 1063959880 | Cabrie Joylyn Claiser | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2017-01-31 |
| 1992155584 | Kathryn S Miller | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2016-06-15 |
| 1477984086 | Michele Johnson | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2013-12-06 |
| 1396175279 | Trisha Crabbs | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2013-11-14 |
| 1346682036 | Christopher S Erickson | Counselor | 501 Sw Ankeny Rd, Ankeny, IA 50023-9702 | 2013-07-23 |
| Find all providers in ANKENY | ||||
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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.