SHANNON PETERSON (NPI# 1356858393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356858393 |
| Entity Type | Individual |
| Full Name | SHANNON PETERSON |
| Credential | CDCA |
| Practice Address |
1 Elizabeth Pl Ste 190 Dayton OH 45417-3445 |
| Mailing Address |
3222 W Central Ave Toledo OH 43606-2929 |
| Practice Telephone | 9379526811 |
| Mailing Telephone | 5673167253 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CDCA.163380 | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316975683 | Shannon Peterson | Chiropractor | N275 Military Rd, Suite 2, Sherwood, WI 54169-9603 | 2006-06-28 |
| 1659982445 | Shannon Elise Peterson | Counselor | 908 N Howard Ave, Grand Island, NE 68803-3556 | 2020-08-14 |
| 1588212161 | Shannon Lyle Peterson | Occupational Therapy Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-08-28 |
| 1215345210 | Shannon Peterson | Nurse Practitioner | 1501 E 10th St, Atlantic, IA 50022-1936 | 2014-07-23 |
| 1588002984 | Shannon Peterson | Pharmacist | 324 Edgewood Rd Nw, Cedar Rapids, IA 52405-3650 | 2013-06-06 |
| 1912253360 | Shannon Michelle Peterson | Massage Therapist | 11811 Mukilteo Speedway, 200, Mukilteo, WA 98275-5442 | 2012-08-02 |
| 1699975235 | Shannon Conley Peterson | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2007-07-23 |
| 1013127828 | Shannon Lynn Peterson | Registered Nurse | 1200 W Speedway Blvd, Tucson, AZ 85745-2326 | 2007-05-23 |
| 1972626521 | Shannon Shaffer Peterson | Marriage & Family Therapist | 4000 W Metropolitan Dr Ste 401, Orange, CA 92868-3506 | 2007-04-09 |
| Street Address |
1 ELIZABETH PL STE 190 |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427588060 | Daniel Wick | Counselor | 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 | 2017-06-15 |
| 1336612373 | Elizabeth Piguet | Social Worker | 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 | 2019-01-02 |
| 1285141226 | Tarin Macher | Case Manager/Care Coordinator | 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 | 2017-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193706 | Brooke Siggers | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45416, Dayton, OH 45417-3569 | 2020-10-29 |
| 1790396240 | Joanne Davis | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45424, Dayton, OH 45417-3569 | 2020-08-10 |
| 1083233548 | Lee Wagner | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45404, Dayton, OH 45417-3569 | 2020-04-14 |
| 1639703655 | Karmeika Michelle Mcintosh | Case Manager/Care Coordinator | 117 Ashwood Ave, Dayton, OH 45405-2643 | 2020-02-28 |
| 1043869126 | Joshua Hawes | Case Manager/Care Coordinator | 1258 Catalpa Dr, Dayton, OH 45402-5847 | 2019-09-10 |
| 1154970580 | Dorothy Robinson | Case Manager/Care Coordinator | 5342 Deer Path Ln, Dayton, OH 45415-2807 | 2019-09-09 |
| 1376191080 | Cara Sandell | Case Manager/Care Coordinator | 7691 Poe Ave, Dayton, OH 45414-2552 | 2019-08-27 |
| 1609434844 | Latosha Scott | Case Manager/Care Coordinator | 1442 Swinger Dr, Dayton, OH 45417-8225 | 2019-06-03 |
| 1407410608 | James Darwin Muir | Case Manager/Care Coordinator | 30 Hannah Dr, Dayton, NJ 08810-1365 | 2019-04-24 |
| 1851865703 | Katherine Bernadette Brossart | Case Manager/Care Coordinator | 33 West 1st St, Suite 100, Dayton, OH 45402-1298 | 2019-01-14 |
| Find all providers in DAYTON | ||||
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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.