SHANNON STANLEY (NPI# 1417508987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417508987 |
Entity Type | Individual |
Full Name | SHANNON STANLEY |
Credential | PRS |
Practice Address |
546 W Tuscarawas Ave Barberton OH 44203-2520 |
Practice Telephone | 2343345139 |
Mailing Telephone | 2343345139 |
Enumeration Date | 2019-09-25 |
Last Update Date | 2019-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | 0001449 | OH | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | OHIO MENTAL HEALTH AND ADDICTION SERVICES (OMHAS) | 0001449 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326530098 | Shannon Alexandra Stanley | Occupational Therapist | 341 Winn Way, Decatur, GA 30030-2120 | 2018-05-30 |
1922458835 | Shannon Nicole Stanley | Nurse Practitioner | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2016-06-21 |
1508193798 | Shannon B Stanley | Nurse Practitioner | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2009-11-09 |
Street Address |
546 W TUSCARAWAS AVE |
City | BARBERTON |
State | OH |
Zip Code | 44203-2520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518461193 | Stefani Ann Whitmire | Peer Specialist | 546 W Tuscarawas Ave, Barberton, OH 44203-2520 | 2018-03-20 |
1194376715 | David Ajamie | Peer Specialist | 546 W Tuscarawas Ave, Barberton, OH 44203-2520 | 2019-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639799653 | Candice Rae Volney | Student in an Organized Health Care Education/Training Program | 155 Fifth St Ne, Summa Health/ Family Residency, Barberton, OH 44203 | 2020-04-20 |
1912526609 | Braulio Eduardo Paredes | Student in an Organized Health Care Education/Training Program | 155 Fifth St. Ne, Summa Health/family Medicine Residency, Barberton, OH 44203 | 2020-04-13 |
1013484047 | Rmd First Step: Community Services Plus | Private Vehicle | 472 Bell Street, Barberton, OH 44203 | 2018-10-29 |
1477065290 | Mason E Dubina | Specialist/Technologist | 1602 Wilsonway Dr, Barberton, OH 44203 | 2017-11-02 |
1467994087 | Holly Marie Mclaughlin | Speech-Language Pathologist | 4128 S. Cleveland-massilon Road, Norton, OH 44203 | 2016-11-14 |
1629438437 | Michael Anderson | Counselor | 145 Yonker Street, Barbeton, OH 44203 | 2016-03-07 |
1801284302 | Susan Lynn Wilson | Registered Nurse | 2988 Moyer Ave, Norton, OH 44203 | 2015-01-06 |
1669886735 | Allison Nettle | Psychologist | 477 4th St. Nw, Barberton, OH 44203 | 2014-06-17 |
1245661818 | Melanie Vaughan | Social Worker | 202 Austrin Drive Ct. Apt. C, Barberton, OH 44203 | 2013-12-09 |
1528408135 | Tammy Galik | Licensed Practical Nurse | 446 Wooster Rd N, Barberton, OH 44203 | 2013-06-27 |
Find all providers in zip 44203 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790246742 | Ladonna Michelle Kelley | Peer Specialist | 272 21st St Nw, Barberton, OH 44203-6702 | 2019-03-30 |
1518461193 | Stefani Ann Whitmire | Peer Specialist | 546 W Tuscarawas Ave, Barberton, OH 44203-2520 | 2018-03-20 |
1194376715 | David Ajamie | Peer Specialist | 546 W Tuscarawas Ave, Barberton, OH 44203-2520 | 2019-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
Find all providers with the same taxonomy |
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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.