PAULA SHANNON (NPI# 1275937252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275937252 |
| Entity Type | Individual |
| Full Name | PAULA SHANNON |
| Practice Address |
6069 S Fort Apache Rd Las Vegas NV 89148-5647 |
| Mailing Address |
Po Box 401501 Las Vegas NV 89140-1501 |
| Practice Telephone | 7028586455 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
00553-LC | NV | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CP1217 | NV | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
CP1217 | NV | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MI0880 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 71853 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265842801 | Paula Shannon | Social Worker | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2014-05-05 |
| 1356640635 | Paula Jean Shannon | Registered Nurse | 3101 Burnet Avenue, Room 116, Cincinnati, OH 45229-3014 | 2011-03-25 |
| Street Address |
6069 S FORT APACHE RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-5647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518317759 | Myra Thompson, Psyd, LLC | Psychologist | 6069 S Fort Apache Rd, #100, Las Vegas, NV 89148-5647 | 2016-06-19 |
| 1427429224 | Latoyia Griffin, LLC | Social Worker | 6069 S Fort Apache Rd, Suite 100, Las Vegas, NV 89148-5647 | 2015-10-19 |
| 1952798407 | Crossroads Behavioral Healthcare | Registered Nurse | 6069 S Fort Apache Rd, Suite 100, Las Vegas, NV 89148-5647 | 2015-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| Find all providers in LAS VEGAS | ||||
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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.