SHANNON D WISE (NPI# 1528418019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528418019 |
| Entity Type | Individual |
| Full Name | SHANNON D WISE |
| Credential | AU.D. |
| Practice Address |
2495 Shreveport Hwy Pineville LA 71360-2004 |
| Practice Telephone | 3184730010 |
| Mailing Telephone | 3184730010 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | LA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093258030 | Shannon Wise | Dietitian, Registered | 2409 Rio Mesa Dr, Austin, TX 78732-1964 | 2016-11-23 |
| 1891088910 | Shannon Davis Wise | Internal Medicine | 7273 Vanderbilt Beach Rd Ste 28, Naples, FL 34119-1479 | 2011-05-23 |
| 1558603977 | Shannon Paige Wise | Advanced Practice Midwife | 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | 2013-03-24 |
| 1447260302 | Shannon J Wise | Chiropractor | 8481 Fishers Center Dr, Fishers, IN 46038-2318 | 2006-08-09 |
| Street Address |
2495 SHREVEPORT HWY |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922066968 | Alexandria Vamc | Department of Veterans Affairs (VA) Pharmacy | 2495 Shreveport Hwy, 71 North, Pineville, LA 71360-4044 | 2006-05-01 |
| 1164044277 | Jennifer Marie Thompson | Licensed Practical Nurse | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2020-05-12 |
| 1043844129 | Megan Guillory Williams | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2020-02-27 |
| 1962049320 | Kelby Friday | Registered Nurse | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-12-04 |
| 1588213888 | Cendi Coutee Carpenter | Nurse Practitioner | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-09-09 |
| 1821655218 | Kara Elizabeth Love | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-05-21 |
| 1083270961 | Stephanie Faye Denux | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-05-15 |
| 1508323478 | Anna Pinkelman | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-02-26 |
| 1912461914 | Yoshika Hayward | Nurse Practitioner | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-01-24 |
| 1841765849 | Crystal Atkins-harris | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2018-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730337239 | Angela B Ponthier | Audiologist | 3200 Monroe Hwy Ste 122, Pineville, LA 71360-4292 | 2008-09-09 |
| 1629527882 | Lagniappe Audiology Services LLC | Audiologist | 3200 Monroe Hwy, Ste 122, Pineville, LA 71360-8110 | 2016-09-29 |
| 1083633689 | Crystal Brady Grim | Audiologist | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2006-07-18 |
| 1942239397 | Veteran's Affairs Medical Center | Audiologist | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949368 | Kimberly Renfro | Audiologist | 1810 E 70th St Ste 400, Shreveport, LA 71105-5337 | 2020-07-15 |
| 1457977993 | Ramesh Bettagere | Audiologist | 1336 Woodlong Dr, Baton Rouge, LA 70816-5511 | 2020-06-21 |
| 1982226320 | Stephen Edward Deno | Audiologist | 269 Bamboo Ct, New Orleans, LA 70123-2015 | 2020-05-08 |
| 1093367336 | Vaughn Johnson Davis | Audiologist | 4301 Tulane Ave Apt 275, New Orleans, LA 70119-6755 | 2019-07-16 |
| 1386204733 | Sean Brazeel | Audiologist | 3330 Lake Villa Dr Ste 100, Metairie, LA 70002-4352 | 2019-06-18 |
| 1972085090 | Sara Mills | Audiologist | 100 S La St Ste 300, Abbeville, LA 70510-5100 | 2018-09-05 |
| 1801374996 | Monique Gallant | Audiologist | 3525 Prytania St Ste 309, New Orleans, LA 70115-8138 | 2018-08-01 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANNON D WISE.
| 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.