SHANNON ROBERTS (NPI# 1467817072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467817072 |
| Entity Type | Individual |
| Full Name | SHANNON ROBERTS |
| Credential | PTA |
| Practice Address |
175 Burdette St Spartanburg SC 29307-1003 |
| Mailing Address |
1271 Bethesda Rd Spartanburg SC 29302-5710 |
| Practice Telephone | 8645968491 |
| Mailing Telephone | 8645901542 |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2015-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1346 | SC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623691 | Shannon Monique Roberts | Behavior Technician | 6148 Passionate Ct, N Las Vegas, NV 89031-3538 | 2019-05-04 |
| 1215496005 | Shannon Ann Roberts | Behavior Technician | 432 West St, Gaylord, MI 49735-8301 | 2019-03-19 |
| 1235306119 | Shannon Roberts | Chiropractor | 3786 S East St, Indianapolis, IN 46227-1241 | 2008-05-10 |
| 1629286869 | Shannon Nicole Roberts | Technician | 1813 Flinthill Dr, Columbus, OH 43223-3542 | 2007-05-20 |
| 1780742916 | Shannon Orlando Roberts | Respite Care | 3657 S Double Echo Rd, Tucson, AZ 85735-5132 | 2006-12-04 |
| 1255374880 | Shannon Leigh Roberts | Nurse Practitioner | 7744 Conner Rd, Powell, TN 37849-3509 | 2006-06-13 |
| 1578182101 | Shannon Leigh Roberts | Chiropractor | 11 E Calhoun St, Sumter, SC 29150-4315 | 2020-04-14 |
| 1073174215 | Shannon Roberts | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2019-06-27 |
| 1740535814 | Shannon Dobelbower Roberts | Dentist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2012-07-16 |
| 1992931380 | Shannon Roberts | Emergency Medicine | 7435 W Talcott Ave, Resurrection Emergency Medicine Residency Program, Chicago, IL 60631-3707 | 2009-05-31 |
| Street Address |
175 BURDETTE ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1992170203 | Freddie T. Davis | Student in an Organized Health Care Education/Training Program | 175 Burdette St, Spartanburg, SC 29307-1003 | 2015-12-11 |
| 1669847273 | Carmelita Byrd | Counselor | 175 Burdette St, Spartanburg, SC 29307-1003 | 2015-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| 1396972618 | Paul Michael Gibas Jr. | Dentist | 1585 Skylyn Drive, Spartanburg, SC 29307 | 2009-06-12 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1891942801 | Scale Down | Specialist | 1455 E Main St Ste 107, Spartanburg, SC 29307-2243 | 2008-08-20 |
| 1124283437 | Allergic Disease and Asthma Center | Specialist | 3020 Reidville Rd, Spartanburg, SC 29301-5641 | 2008-07-25 |
| 1558541094 | Arthritis Care & Therapy Center | Specialist | 391 Serpentine Dr Ste 240, Spartanburg, SC 29303-3079 | 2007-11-13 |
| 1629258827 | Saad Upstate Neurology, P.a. | Specialist | 100 Willow Ln, Suite A, Spartanburg, SC 29307-1365 | 2007-11-06 |
| 1730388109 | Ashley Fowler | Specialist | 250 North Grove Medical Park, Spartanburg, SC 29303-3098 | 2007-07-16 |
| 1376508499 | Bang N Giep | Specialist | 853 N Church St Ste 600, Spartanburg, SC 29303-3070 | 2006-04-20 |
| 1164487377 | Magdy A. Habib | Specialist | 1702 Skylyn Dr, Spartanburg, SC 29307-1040 | 2006-04-19 |
| 1104886001 | William W Kerfoot | Specialist | 391 Serpentine Dr., Suite 500, Spartanburg, SC 29303-3083 | 2006-03-24 |
| 1093781122 | Spartanburg Neurological Center, Pa | Specialist | 1690 Skylyn Drive, Suite 140, Spartanburg, SC 29307 | 2006-02-28 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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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.