SHANNA WALKER (NPI# 1255885752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255885752 |
| Entity Type | Individual |
| Full Name | SHANNA WALKER |
| Credential | M.A. |
| Practice Address |
4747 Lincoln Mall Dr 601 Matteson IL 60443-3811 |
| Mailing Address |
6160 S Indiana Ave Chicago IL 60637-2208 |
| Practice Telephone | 7087477250 |
| Practice Fax Number | 7087477258 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306116124 | Shanna Monique Walker | Licensed Practical Nurse | 1128 Gilsey Ave, Cincinnati, OH 45205-1627 | 2012-01-10 |
| Street Address |
4747 LINCOLN MALL DR 601 |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790795805 | Bnm Professional Consulting Services, Inc. | Physical Therapist | 4747 Lincoln Mall Dr, Suite #302, Matteson, IL 60443-3811 | 2006-08-09 |
| 1669012910 | Olufemi Matimoju | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2020-01-14 |
| 1285277905 | Shaneika Tolliver | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-10-25 |
| 1013574458 | Angela Maria Cunningham | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-05-21 |
| 1356801856 | Patricia Ann Willis | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-21 |
| 1366901290 | Amanda Briick | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-19 |
| 1790239291 | Ollie Owens | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2016-08-12 |
| 1518411016 | Brittany Lampkin | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2016-08-12 |
| 1386028835 | The Dubois Douglas Centres | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4747 Lincoln Mall Dr, Suite 301, Matteson, IL 60443-3811 | 2015-07-15 |
| 1932442571 | Laynie Foundation | Clinic/Center | 4747 Lincoln Mall Dr, Suite 604, Matteson, IL 60443-3811 | 2013-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091235 | Elevation Individual and Family Therapy, LLC | Counselor | 2 Willow Rd, Matteson, IL 60443-1096 | 2020-07-30 |
| 1407475148 | Marie A Gandy | Counselor | 21227 S Jeffrey Dr, Matteson, IL 60443-2427 | 2020-04-13 |
| 1265069603 | Lauren Cobb | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-03-25 |
| 1558962654 | Shequile Jones | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-11-04 |
| 1558977199 | Courtney Alyssa Gogins | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-09-18 |
| 1386261360 | Gia V Washington | Counselor | 4331 Lincoln Hwy, Matteson, IL 60443-2404 | 2020-06-25 |
| 1063035145 | Terrence Williams | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-05-22 |
| 1043847486 | Omari Norman | Counselor | 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279 | 2020-03-25 |
| 1710544457 | Andrew Laberge | Counselor | 4331 Lincoln Hwy, Matteson, IL 60443-2404 | 2019-05-28 |
| 1356801856 | Patricia Ann Willis | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-21 |
| Find all providers in MATTESON | ||||
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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.