MRS. SHANNON KATHLEEN HENNESSEY BRUCE (NPI# 1376187039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376187039 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON KATHLEEN HENNESSEY BRUCE |
| Credential | M.S. CF-SLP |
| Practice Address |
1 Quality Dr Vacaville CA 95688-9494 |
| Mailing Address |
1170 Lincoln Ave Apt 1 Walnut Creek CA 94596-4725 |
| Practice Telephone | 9253305291 |
| Mailing Telephone | 9253305291 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 QUALITY DR |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-9494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332227 | Robert Charles Jacoby | Surgery | 1 Quality Dr, Vacaville, CA 95688-9494 | 2005-08-02 |
| 1538770193 | Darren Lee Watkins | Respiratory Therapist, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-08-16 |
| 1194334151 | Bonnie Lynn Brown | Registered Nurse | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-07-27 |
| 1083222087 | Valentine D Duff | Respiratory Therapist, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-07-16 |
| 1164056669 | Jamison Franklin Jordan | Physical Therapist | 1 Quality Dr, Vacaville, CA 95688-9494 | 2020-02-24 |
| 1790333870 | Krista Danielle Brown | Physical Therapist | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-08-31 |
| 1295383719 | Meghann Jean Keehner | Audiologist-Hearing Aid Fitter | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-08-28 |
| 1598310765 | Mai Feng Vang | Dietitian, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-08-05 |
| 1447717210 | Trista Michele Vanasse | Nurse Anesthetist, Certified Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-02-27 |
| 1033675921 | Nikki Monique Galvan | Respiratory Therapist, Registered | 1 Quality Dr, Vacaville, CA 95688-9494 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689204018 | Julie Anna Ballard | Student in an Organized Health Care Education/Training Program | 445 Temple Dr, Vacaville, CA 95687-5147 | 2020-01-24 |
| 1457856379 | Abd-elrahman Said Hassan | Student in an Organized Health Care Education/Training Program | 127 Dream St, Vacaville, CA 95687-6765 | 2018-03-25 |
| 1790205813 | Robin Alonge | Student in an Organized Health Care Education/Training Program | 148 Incline Ct, Vacaville, CA 95687-9568 | 2017-06-20 |
| 1164885331 | Karen Sheehy | Student in an Organized Health Care Education/Training Program | 250 W Kendal St, Vacaville, CA 95688-3827 | 2016-04-04 |
| 1518349570 | Christopher Sardon | Student in an Organized Health Care Education/Training Program | 312 Kilgarvan Ct, Vacaville, CA 95688-9203 | 2015-06-25 |
| 1801166483 | Ashley Dawn Heath | Student in an Organized Health Care Education/Training Program | 293 Shasta Dr Apt 214, Vacaville, CA 95687-4955 | 2012-01-12 |
| 1548422769 | Scott Allen Stafford | Student in an Organized Health Care Education/Training Program | 120 Chimney Rock Dr, Vacaville, CA 95687-7737 | 2008-06-29 |
| 1558804450 | Naysan Malakouti | Student in an Organized Health Care Education/Training Program | 1119 E Monte Vista Ave, Vacaville, CA 95688-3009 | 2016-11-23 |
| 1285180570 | Victoria Kendrick | Student in an Organized Health Care Education/Training Program | 1600 California Drive, Vacaville, CA 95687 | 2016-08-28 |
| 1467836221 | Traci Michelle Bernhardt | Student in an Organized Health Care Education/Training Program | 1 Quality Dr, Vacaville, CA 95688-9494 | 2015-07-11 |
| Find all providers in VACAVILLE | ||||
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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.