SHANNON CHRISTINA JOHNSON (NPI# 1295012508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295012508 |
| Entity Type | Individual |
| Full Name | SHANNON CHRISTINA JOHNSON |
| Other Name | SHANNON CHRISTINA MALAN |
| Credential | PA-C |
| Practice Address |
13111 E. Briarwood Ave #15 Centennial CO 80112 |
| Mailing Address |
13111 E. Briarwood Ave #105 Centennial CO 80112 |
| Practice Telephone | 3036323640 |
| Practice Fax Number | 3036323642 |
| Mailing Telephone | 3036323640 |
| Mailing Fax Number | 3036323642 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2017-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4032 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5036 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787579 | Shannon R Johnson | Physical Therapy Assistant | 2030 N 15th Rd, Streator, IL 61364-9754 | 2020-04-01 |
| 1225688146 | Shannon D Johnson | Counselor | 505 University Dr E Ste 501, College Station, TX 77840-1797 | 2019-09-12 |
| 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 |
| 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 |
13111 E. BRIARWOOD AVE #15 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478445 | Robin Elise Feldman | Physician Assistant | 17033 E Dorado Dr, Centennial, CO 80015-3029 | 2019-03-28 |
| 1548669054 | Kyla C Conway | Physician Assistant | 7180 E Orchard Rd Ste 306, Centennial, CO 80111-1727 | 2014-08-20 |
| 1942538707 | Jamie W Lam | Physician Assistant | 5555 East Arapahoe Road, Centennial, CO 80122-2312 | 2009-12-04 |
| 1831210434 | Mani Shahidi | Physician Assistant | 6342 E Geddes Ave, Centennial, CO 80112-1536 | 2007-04-02 |
| 1528137817 | Judith Mochizuki | Physician Assistant | 5161 E Arapahoe Rd Ste 290, Centennial, CO 80122-4810 | 2006-11-08 |
| 1225070923 | Madelaine Cathleen Mccullough | Physician Assistant | 10900 E Briarwood Ave, Centennial, CO 80112-3820 | 2006-06-10 |
| 1558348391 | Joy Garrison | Physician Assistant | 5555 E Arapahoe Rd, Centennial, CO 80122-2312 | 2005-12-22 |
| 1861916116 | Joseph Rosas | Physician Assistant | 9094 E Mineral Cir Ste 100, Centennial, CO 80112-7201 | 2017-07-28 |
| 1104360668 | Lindsay N Kotal | Physician Assistant | 14100 E Arapahoe Rd, Suite 170, Centennial, CO 80112-4028 | 2016-12-16 |
| 1770935371 | Leslie Will | Physician Assistant | 9094 E Mineral Cir Ste 120, Centennial, CO 80112-7201 | 2016-07-07 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
Please comment or provide details below to improve the information on SHANNON CHRISTINA 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.