SHANNON D JOHNSON (NPI# 1225688146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225688146 |
| Entity Type | Individual |
| Full Name | SHANNON D JOHNSON |
| Practice Address |
505 University Dr E Ste 501 College Station TX 77840-1797 |
| Mailing Address |
258 Stuttgart Cir College Station TX 77845-3943 |
| Practice Telephone | 9793530876 |
| Mailing Telephone | 9366157286 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
75591 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787579 | Shannon R Johnson | Physical Therapy Assistant | 2030 N 15th Rd, Streator, IL 61364-9754 | 2020-04-01 |
| 1174184402 | Shannon Symone Johnson | Registered Nurse | 1120 Country View Ln Apt 11d, Toledo, OH 43615-8315 | 2019-06-26 |
| 1114435484 | Shannon Marie Johnson | Nurse Practitioner | 120 Horton Ln, Belvidere, TN 37306-2109 | 2018-01-19 |
| 1972859478 | Shannon Johnson | Counselor | 2502 Beech St Unit 6, Valparaiso, IN 46383-6214 | 2012-08-02 |
| 1295012508 | Shannon Christina Johnson | Physician Assistant | 13111 E. Briarwood Ave #15, Centennial, CO 80112 | 2011-11-15 |
| 1689815771 | Shannon Marie Johnson | Speech-Language Pathologist | 1567 Elmwood Ave, Apt6, Rochester, NY 14620-3616 | 2009-03-18 |
| 1801080619 | Shannon Marie Johnson | Nurse Practitioner | 7900 Highway 76, Pendleton, SC 29670-8876 | 2007-09-05 |
| 1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1841324431 | Shannon N Johnson | Counselor | 1002 Yanceyville St, Greensboro, NC 27405-7842 | 2007-03-15 |
| Street Address |
505 UNIVERSITY DR E STE 501 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043842826 | Latonya Hendricks | Counselor | 505 University Dr E Ste 501, College Station, TX 77840-1797 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381117 | Crystal Louise Bigley | Counselor | 3401 Dallis Dr, College Station, TX 77845-5934 | 2019-11-27 |
| 1821649898 | Stephan Beatty | Counselor | 1605 Rock Prairie Rd Ste 316, College Station, TX 77845-8358 | 2019-09-21 |
| 1932769478 | Morgan Sanders | Counselor | 3206 Longmire Dr Ste A15, College Station, TX 77845-5858 | 2019-06-17 |
| 1134684921 | Doris J Carter | Counselor | 4307 Roxborough Pl, College Station, TX 77845-4867 | 2019-02-05 |
| 1316429715 | Deanna Johnston | Counselor | 2809 Earl Rudder Fwy S Ste 207, College Station, TX 77845-7383 | 2018-08-31 |
| 1649779174 | Danielle Pompili | Counselor | 1550 Crescent Pointe Pkwy Apt 9203, College Station, TX 77845-7401 | 2018-02-10 |
| 1437667482 | Jamie Marie Manning | Counselor | 18472 Lone Star Ln, College Station, TX 77845-3875 | 2018-01-11 |
| 1467968263 | Michelle Robichaux | Counselor | #236, 3515 Longmire Drive Ste B, College Station, TX 77845-9706 | 2017-12-17 |
| 1922458496 | Wells Counseling Services, Pllc | Counselor | 547 William D Fitch Pkwy Ste 103, College Station, TX 77845-6161 | 2016-06-15 |
| 1023464088 | Andrea Atkins Boldt | Counselor | 2809 Earl Rudder Fwy S Ste 203, College Station, TX 77845-7383 | 2016-05-09 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
Please comment or provide details below to improve the information on SHANNON D JOHNSON.
| 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.