MRS. SHANNON BRUNSON POWELL (NPI# 1538365341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538365341 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON BRUNSON POWELL |
| Credential | P.A. |
| Practice Address |
4250 Hospital Dr Marianna FL 32446-1917 |
| Mailing Address |
2966 Chase Way Marianna FL 32446-6458 |
| Practice Telephone | 8507182580 |
| Practice Fax Number | 8507182551 |
| Mailing Telephone | 8504825777 |
| Mailing Fax Number | 8507182551 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
FL39590 | FL | Technologists, Technicians & Other Technical Service Providers |
| X | 363A00000X | Physician Assistant | 07FL1280 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639676828 | Shannon Marie Powell | Counselor | 3715 N 104th Ave, Omaha, NE 68134-3790 | 2018-04-12 |
| 1578589511 | Shannon E Powell | Social Worker | 2445 Galtier St, Roseville, MN 55113 | 2006-07-14 |
| 1316585144 | Shannon Marie Powell | Behavior Technician | 2928 Jefferson St Ste 100, Carlsbad, CA 92008-2374 | 2019-12-11 |
| 1861943433 | Shannon Powell | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109-6422 | 2016-10-19 |
| 1164889259 | Shannon Powell | Dietitian, Registered | 3601 5th Ave, Suite 1b, Room 145-b, Pittsburgh, PA 15213-3403 | 2016-01-21 |
| 1659748697 | Shannon Powell | Rehabilitation Practitioner | 6055 E Washington Blvd Ste 900, Commerce, CA 90040-2453 | 2015-08-25 |
| 1376892976 | Shannon Colleen Powell | Social Worker | 1110 Major Ave, Riverton, WY 82501 | 2012-08-29 |
| 1093071250 | Shannon K Powell | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118 | 2012-04-02 |
| 1720307028 | Shannon Powell | Case Manager/Care Coordinator | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2010-05-26 |
| 1528221603 | Shannon M Powell | Radiology | 3535 Southern Blvd, Dayton, OH 45429-1221 | 2008-07-08 |
| Street Address |
4250 HOSPITAL DR |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700320 | Glenn L. Clark | Radiology | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2005-09-13 |
| 1013481225 | Small Hospital Innovations LLC | Emergency Medicine | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2019-01-22 |
| 1306341623 | Heath Rogers | Nurse Anesthetist, Certified Registered | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2018-03-28 |
| 1679011001 | Andrea Davis | Nurse Anesthetist, Certified Registered | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2017-02-06 |
| 1790146140 | Marianna Imaging, LLC | Specialist | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2016-03-13 |
| 1992178727 | Summer Breeze Emergency Physicians, LLC | Physician Assistant | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2015-11-02 |
| 1093187957 | Eminence Emergency Physicians, LLC | Physician Assistant | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2015-10-30 |
| 1629460233 | Heather Stone | Nurse Anesthetist, Certified Registered | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2015-02-19 |
| 1346652922 | Kayla L Gore | Registered Nurse | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2014-05-29 |
| 1578989844 | Turtle Run Emergency Physicians | Emergency Medicine | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2014-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| Find all providers in zip 32446 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669914529 | Yoel Noya | Radiologic Technologist | 5040 Nw 7th St Ste 714, Miami, FL 33126-3435 | 2016-11-09 |
| 1316309800 | Daytona Mri LLC | Radiologic Technologist | 125 Mason Ave, Daytona Beach, FL 32117-5017 | 2016-03-23 |
| 1457711129 | Nathaniel Skaggs | Radiologic Technologist | 1021 Palmer St, Orlando, FL 32801-4046 | 2016-02-24 |
| 1396110839 | Brian Register | Radiologic Technologist | 749 Cr 482n, Lake Panasoffkee, FL 33538-6007 | 2015-12-09 |
| 1497148423 | Laurel French | Radiologic Technologist | 4127 Se 23rd Ave, Ocala, FL 34480-7167 | 2015-03-16 |
| 1811245467 | Jose Suarez | Radiologic Technologist | 801 N Midland Dr, Deltona, FL 32725-5622 | 2012-08-29 |
| 1114211992 | Angel D Mora | Radiologic Technologist | 12420 Sw 192nd Ter, Miami, FL 33177-3800 | 2011-06-08 |
| 1285930792 | Maribel Quesada | Radiologic Technologist | 711 Nw 93rd Ave, Pembroke Pines, FL 33024-6332 | 2011-01-31 |
| 1699077313 | Pinnacle Interventional Center Inc. | Radiologic Technologist | 2380 Nw 7th St, Miami, FL 33125-3249 | 2010-12-01 |
| 1174842678 | Roberson Raymond | Radiologic Technologist | 4123 Arthurium Ave, Lantana, FL 33462-3431 | 2010-05-24 |
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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.