MRS. SHANNON BROOKE LITTLE (NPI# 1205378247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205378247 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON BROOKE LITTLE |
| Credential | RN; BSN |
| Practice Address |
524 Signal Hill Drive Ext Statesville NC 28625-4391 |
| Mailing Address |
284 Executive Park Dr Suite 100 Concord NC 28025-1894 |
| Practice Telephone | 7048711045 |
| Practice Fax Number | 7048736647 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
177415 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962996678 | Shannon Little | Counselor | 1525 W Lewis St, San Diego, CA 92103-1220 | 2018-06-16 |
| 1760608806 | Shannon Leeson Little | Psychiatry & Neurology | 109 Hazel Path, Wren Bldg, Suite 4, Hendersonville, TN 37075-3888 | 2007-04-17 |
| Street Address |
524 SIGNAL HILL DRIVE EXT |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-4391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184631582 | Jennifer Pruitt Moore | Counselor | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2006-08-01 |
| 1598385338 | Lisa Scott | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-04-22 |
| 1982235149 | Benny Allen Suttles | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-01-27 |
| 1437796737 | Nickysha Mckoy | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-12-05 |
| 1265093850 | Kristina Marie Sheybani-agdam | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-06-24 |
| 1386105286 | Deshannon Daniels | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-26 |
| 1568923407 | Linda Caroline Roberts | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-25 |
| 1700340981 | Stephanie Kennedy | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-01-22 |
| 1033691415 | Tashe Alexandria Jones | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-09-03 |
| 1619458619 | David John Miller II | Social Worker | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073649067 | Joan Akscin | Registered Nurse | Triumph LLC, 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463035 | Elizabeth Covert | Registered Nurse | 83 Covert Rd, Old Fort, NC 28762-7872 | 2020-10-07 |
| 1265044218 | Lolade Ogunleye | Registered Nurse | 101 Mannin Drive, Chapel Hill, NC 27514-1660 | 2020-08-20 |
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1861954349 | Kayla Nicole Flieger | Registered Nurse | 119 Sonia Drive, Hubert, NC 28539 | 2019-04-03 |
| 1316493174 | Maria Mercedes Evangelista | Registered Nurse | 8044 Hartham Park Ave, Raleigh, NC 27616-9302 | 2016-08-31 |
| 1053718072 | Brown's Goldencare | Registered Nurse | 207 Morven Road, Wadesboro, NC 28170 | 2014-11-20 |
| 1326378035 | Tina Nowak | Registered Nurse | 501 S Broad St, Brevard, NC 28712-4044 | 2009-12-31 |
| 1942421508 | Benjamin Joseph Mastridge | Registered Nurse | 402 North Main St, Creedmoor, NC 27522-8815 | 2007-05-01 |
| 1073739876 | Judy S. Ayers | Registered Nurse | 2563 Eric Ln, K, Burlington, NC 27215-4303 | 2007-04-18 |
| 1164550406 | Edith M. Chance | Registered Nurse | 4913 Forbush Rd, East Bend, NC 27018-7855 | 2007-02-28 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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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.