DR. SHANNON L PORTER (NPI# 1467998518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467998518 |
| Entity Type | Individual |
| Full Name | DR. SHANNON L PORTER |
| Credential | PSY.D |
| Practice Address |
2200 W Broad St Columbus OH 43223-1297 |
| Practice Telephone | 6147520333 |
| Mailing Telephone | 6147520333 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
7313 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346778784 | Shannon Marie Porter | Registered Nurse | 820 34th St Ste 202, Bakersfield, CA 93301-2268 | 2017-05-30 |
| 1558844381 | Shannon Marie Porter | Behavior Technician | 1166 S Gilbert Rd Ste 106, Gilbert, AZ 85296-3461 | 2018-09-07 |
| 1033633490 | Shannon Porter | Case Manager/Care Coordinator | 114 Ineichen St, Rayville, LA 71269 | 2017-07-27 |
| 1356894422 | Shannon Lynne Porter | Nurse Practitioner | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2016-07-26 |
| Street Address |
2200 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43223-1297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971280 | Bronya Boykin Sullivan | Psychiatry & Neurology | 2200 W Broad St, Columbus, OH 43223-1297 | 2005-06-10 |
| 1972165561 | Austin Brown | Psychologist | 2200 W Broad St, Columbus, OH 43223-1297 | 2019-07-03 |
| 1821530833 | Helene Muhirwa | Nurse Practitioner | 2200 W Broad St, Columbus, OH 43223-1297 | 2016-11-08 |
| 1427401660 | Benjamin Morgan Hendrickson | Psychologist | 2200 W Broad St, Columbus, OH 43223-1297 | 2016-07-22 |
| 1306255732 | Anne E Joliot | Psychologist | 2200 W Broad St, Columbus, OH 43223-1297 | 2014-08-11 |
| 1417363805 | Janice Vidic | Psychologist | 2200 W Broad St, Columbus, OH 43223-1297 | 2014-07-07 |
| 1912312836 | Robyn Schaffer | Psychologist | 2200 W Broad St, Columbus, OH 43223-1297 | 2014-06-30 |
| 1750706974 | Tina V. Kuba | Registered Nurse | 2200 W Broad St, Columbus, OH 43223-1297 | 2014-02-25 |
| 1518203793 | Renae K. Chung | Psychologist | 2200 W Broad St, Columbus, OH 43223-1297 | 2012-12-17 |
| 1578808416 | Marjorie Anne Reed | Registered Nurse | 2200 W Broad St, Columbus, OH 43223-1297 | 2012-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121879 | Select Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 1965 Zettler Center Dr, Columbus, OH 43223 | 2018-07-26 |
| 1659867778 | Latisha White | Licensed Practical Nurse | 765 Pierce Drive, Columbus, OH 43223 | 2018-07-02 |
| 1225522790 | Maressa K Carter | Behavior Technician | 735 Pierce Dr, Columbus, OH 43223 | 2018-06-19 |
| 1942704192 | Florence Arinaitwe | Counselor | Netcare Access, 199 S. Central Avenue, Columbus, OH 43223 | 2018-03-22 |
| 1659882256 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1605 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1679084271 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1625 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1740711365 | Heather Price | Counselor | 1788 Winding Field St, Columbus, OH 43223 | 2017-03-24 |
| 1477848133 | Anu Raghavan | Psychiatry & Neurology | 199 S. Central Ave, Columbus, OH 43223 | 2011-06-10 |
| 1588837728 | Pomegranate Health Systems of Central Ohio, Inc. | Psychiatric Hospital | 765 Pierce Dr., Columbus, OH 43223 | 2008-04-09 |
| Find all providers in zip 43223 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497224687 | Tawnee Tanner | Psychologist | 1366 Linwood Ave, Columbus, OH 43206-3151 | 2018-11-16 |
| 1205343241 | Terrance James Kukor | Psychologist | 3081 Sullivant Ave, Columbus, OH 43204-1831 | 2017-12-29 |
| 1467504357 | Jeffrey L Smalldon | Psychologist | 5151 Reed Rd Ste 211a, Columbus, OH 43220-2594 | 2007-01-18 |
| 1164575999 | David J Tennenbaum | Psychologist | 5151 Reed Rd Ste 211a, Columbus, OH 43220-2594 | 2007-01-18 |
| 1609943240 | Kelly Leanne Farris | Psychologist | 3000 Schatulga Rd, Bldg. 5, Columbus, GA 31907-3117 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902206543 | Robyn Hoffman | Psychologist | 190 Pebble Creek Dr, Etna, OH 43062-8944 | 2014-09-02 |
| 1902005556 | George Walker Schmedlen | Psychologist | 17415 Winslow Rd, Shaker Heights, OH 44120-3425 | 2007-07-13 |
| 1033120092 | Daniel Dean Hrinko | Psychologist | 3637 Troy Rd, Springfield, OH 45504-4463 | 2006-08-11 |
| 1376590901 | Applied Psychological Services | Psychologist | 2371 Western Ohio Avenue, Lima, OH 45805 | 2006-05-28 |
| 1396370532 | Kelly Cleveland | Psychologist | 1918 N Main St, Findlay, OH 45840-3818 | 2020-03-09 |
| 1275027070 | Nicole Newton | Psychologist | 37 N Broadway St, Akron, OH 44308-1910 | 2018-06-15 |
| 1427406388 | Kara Marciani | Psychologist | 600 Wayne Ave, Dayton, OH 45410-1122 | 2016-06-01 |
| 1851610463 | Steven M Neuhaus | Psychologist | 23811 Chagrin Blvd, Suite 310, Beachwood, OH 44122-5525 | 2010-05-21 |
| 1043431653 | Joanne C. Carey | Psychologist | 3333 Burnet Ave., Ml 3015, Cincinnati, OH 45229-3039 | 2007-05-01 |
| 1043367451 | Scott A Bresler | Psychologist | 234 Goodman St, Cincinnati, OH 45219-2364 | 2007-01-05 |
| 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.