SHANNON BROWN (NPI# 1518501485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518501485 |
| Entity Type | Individual |
| Full Name | SHANNON BROWN |
| Credential | RPSGT |
| Practice Address |
410 Lakeville Rd Ste 107 New Hyde Park NY 11042-1102 |
| Mailing Address |
155 Community Dr Great Neck NY 11021-5502 |
| Practice Telephone | 5164655346 |
| Practice Fax Number | 5164655454 |
| Mailing Telephone | 5164658270 |
| Mailing Fax Number | 5164658274 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 000451 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 155 Community Dr, Great Neck, NY 110215502 | 5164658270 | 5164658274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101434 | Shannon Michelle Brown | Pharmacist | 350 Us 31w Byp, Bowling Green, KY 42101-1770 | 2020-10-15 |
| 1992311252 | Shannon Brown | Registered Nurse | 1127 Folkstone Dr, Mcdonough, GA 30253-3927 | 2020-09-21 |
| 1194363887 | Shannon Brown | Nurse Practitioner | 3333 Burnet Ave # Mlc1013, Cincinnati, OH 45229-3026 | 2019-12-13 |
| 1043700552 | Shannon Elizabeth Brown | Social Worker | 12395 Mccracken Rd Unit A-up, Garfield Heights, OH 44125-2967 | 2018-05-10 |
| 1881049468 | Shannon Brown | Social Worker | 1311 Exposition Blvd Apt 12, Austin, TX 78703-3623 | 2016-05-02 |
| 1700285095 | Shannon Marie Brown | Rehabilitation Practitioner | 6889 S.eastern Ave., Las Vegas, NV 89119 | 2014-08-22 |
| 1982003117 | Shannon Brown | Nurse Practitioner | 924 Metropolitan Ave Apt 202, Brooklyn, NY 11211-2661 | 2014-08-13 |
| 1508282641 | Shannon Jennie Elaine Brown | Social Worker | 888 West Big Beaver, Suite 1450, Troy, MI 48084 | 2014-03-13 |
| 1811267404 | Shannon A Brown | Occupational Therapist | 212 Lincoln Way E, New Oxford, PA 17350-1227 | 2012-01-12 |
| 1578857363 | Shannon Lane Brown | Occupational Therapy Assistant | 43 County Road 1721, Bay Springs, MS 39422-9804 | 2011-06-09 |
| Street Address |
410 LAKEVILLE RD STE 107 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730389172 | Kennedy Onome Omonuwa | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2007-07-24 |
| 1508475468 | Jessica Trentacoste | Nurse Practitioner | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2020-07-27 |
| 1114413770 | Sean Mahoney | Nurse Practitioner | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2018-07-07 |
| 1467976506 | Jacqueline Concepcion | Nurse Practitioner | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2017-07-31 |
| 1447771514 | Tessy Thomas | Nurse Practitioner | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2017-06-29 |
| 1154749067 | Juliana Derfel | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2014-03-29 |
| 1487094082 | Abhinav Agrawal | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2013-06-27 |
| 1811263098 | Ayelet B Hilewitz | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2012-04-01 |
| 1952625477 | Stella Saerom Hahn | Internal Medicine | 410 Lakeville Rd Ste 107, New Hyde Park, NY 11042-1102 | 2010-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639463 | Roza Klig | Specialist/Technologist | 2483 W 16th St Apt 13g, Brooklyn, NY 11214-7001 | 2020-08-11 |
| 1164056214 | Olivia Pimenta | Specialist/Technologist | 38 Suffolk Rd, Hampton Bays, NY 11946-2237 | 2020-02-27 |
| 1851940019 | Sheri Marie Booth | Specialist/Technologist | 35 Sylvan Dr, Mahopac, NY 10541-3060 | 2019-09-10 |
| 1518519347 | Cline Hunter Russell IIi | Specialist/Technologist | 7615 35th Ave Apt 3h, Jackson Heights, NY 11372-4622 | 2019-07-11 |
| 1043670284 | Elizabeth Bruen | Specialist/Technologist | 2 Elting Ct Fl 3, Ellenville, NY 12428-1330 | 2016-03-01 |
| 1083086912 | Debra Ann Bacchus | Specialist/Technologist | 13010 144th St, Jamaica, NY 11436-2214 | 2015-10-30 |
| 1780053918 | Erika Maria Lahoz | Specialist/Technologist | 14330 Cherry Ave, Flushing, NY 11355-2125 | 2015-09-17 |
| 1871984922 | Arne Komar | Specialist/Technologist | 5392 Springview Dr, Fayetteville, NY 13066-9678 | 2015-02-11 |
| 1396133567 | Heidi Lynn Vandermeulen | Specialist/Technologist | 415 Deland Drive, Utica, NY 13502 | 2014-12-22 |
| 1487060307 | Finding Theta Through Meditation, LLC | Specialist/Technologist | 505 W 54th St, Ste #1017, New York, NY 10019-5056 | 2014-07-11 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on SHANNON BROWN.
| 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.