DR. SHANNON MARIE ROGERS (NPI# 1336516970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336516970 |
| Entity Type | Individual |
| Full Name | DR. SHANNON MARIE ROGERS |
| Credential | PH.D. |
| Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 7067330188 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003934 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275072928 | Shannon Rogers | Licensed Practical Nurse | 722 N 11th St, Murphysboro, IL 62966-1602 | 2017-02-14 |
| 1457688764 | Shannon Rogers | Pharmacist | 4500 N Tarrant Pkwy, Fort Worth, TX 76244-4924 | 2009-11-06 |
| 1639722994 | Shannon Marie Rogers | Behavior Technician | 3712 Macarthur Blvd Ste 100, New Orleans, LA 70114-6861 | 2019-07-16 |
| 1477017564 | Shannon Roper Rogers | Counselor | 324 E Saint John St, Spartanburg, SC 29302-1505 | 2019-01-23 |
| 1306315122 | Shannon Rogers | Counselor | 2221 Bull St, Columbia, SC 29201-1901 | 2018-11-21 |
| 1306332747 | Shannon Rogers | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2018-07-09 |
| 1255691077 | Shannon Rogers | Marriage & Family Therapist | 445 Bellevue Ave, Suite 201b, Oakland, CA 94610-4923 | 2012-05-26 |
| 1558379925 | Shannon Elizabeth Rogers | Pharmacist | 1700 E 38th St, Pharmacy Dept (119), Marion, IN 46953-4568 | 2006-08-03 |
| Street Address |
1 FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1932635885 | Samantha L. Whatson | Psychologist | 3633 Wheeler Rd Ste 110, Augusta, GA 30909-6544 | 2017-05-11 |
| 1942743679 | Medoptions of Maine, LLC | Psychologist | 45 Memorial Cir, Augusta, ME 04330-6400 | 2016-11-29 |
| 1942652656 | Nancy Slobodnik | Psychologist | 1 Va Ctr # 28, Augusta, ME 04330-6719 | 2016-07-06 |
| 1710315171 | Holly Tabernik | Psychologist | 3405 Mike Padgett Hwy Bldg 10, Augusta, GA 30906-3815 | 2013-10-23 |
| 1225383078 | Sarah Bruce Stevens | Psychologist | 44 Thornberry Drive, Augusta, GA 30909-1922 | 2012-07-18 |
| 1326277831 | Katharine Elliott Mocciola | Psychologist | 1 Va Ctr # 116b, Augusta, ME 04330-6719 | 2009-07-06 |
| 1467635441 | Dana P. Reaume | Psychologist | 74 Bristlecone Ln, Augusta, GA 30909-1847 | 2007-12-12 |
| 1548460124 | Sarah Faith Shelton | Psychologist | 1829 Wrightsboro Rd, Augusta, GA 30904-2010 | 2007-07-20 |
| 1679623086 | M. Kevin Turner | Psychologist | 103 Rossmore Pl, Augusta, GA 30909-5769 | 2007-01-11 |
| Find all providers in AUGUSTA | ||||
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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.