SHANNON KING (NPI# 1538431275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538431275 |
| Entity Type | Individual |
| Full Name | SHANNON KING |
| Credential | LAC, LMT |
| Practice Address |
363 Route 111 Suite Ll8 Smithtown NY 11787-4756 |
| Practice Telephone | 6312575757 |
| Practice Fax Number | 6314198057 |
| Mailing Telephone | 6312575757 |
| Mailing Fax Number | 6314198057 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 005430 | NY | Other Service Providers |
| N | 172M00000X | Mechanotherapist | 025155-1 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181283 | Shannon Ruth King | Nurse Practitioner | 6740 East Road M, Dumas, TX 79029 | 2020-07-20 |
| 1275952236 | Shannon King | Behavioral Analyst | 944 E Shadowlawn Ave, Tampa, FL 33603-2327 | 2014-04-07 |
| 1184919136 | Shannon N King | Occupational Therapy Assistant | 2500 Shallowford Rd Ne, Apt 4423, Atlanta, GA 30345-1226 | 2011-06-16 |
| 1568792976 | Shannon Elaine King | Physical Therapist | 15 Kirkbride Dr, Danvers, MA 01923 | 2010-01-06 |
| 1902048176 | Shannon Marie King | Social Worker | 1690 Dunlawton Ave Ste 125, Port Orange, FL 32127-8980 | 2009-04-02 |
| 1740763465 | Shannon M King | Psychologist | 1416 Sweet Home Rd, Amherst, NY 14228-2784 | 2018-09-09 |
| 1275088627 | Shannon Nicole King | Speech-Language Pathologist | 330 Madison Ave S Ste 106, Bainbridge Island, WA 98110-2544 | 2016-08-15 |
| 1750752861 | Shannon King | Nurse Practitioner | 1964 E Baseline Rd, Tempe, AZ 85283-1530 | 2015-10-14 |
| 1043558331 | Shannon King | Registered Nurse | 2450 Alamo Ave Se, Albuquerque, NM 87106 | 2013-01-22 |
| 1770819369 | Shannon Mari King | Pediatrics | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2009-11-02 |
| Street Address |
363 ROUTE 111 SUITE LL8 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740242585 | Valerie Jessen | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2006-04-05 |
| 1194337253 | Eva Dziergowska | Nurse Practitioner | 363 Route 111, Smithtown, NY 11787-4756 | 2020-08-20 |
| 1851815716 | Timothy Patrick Aiello | Nurse Practitioner | 363 Route 111, Smithtown, NY 11787-4756 | 2017-08-01 |
| 1396295853 | Katie Anne Goehle | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2016-10-09 |
| 1700331873 | Pamela Trifaro, Lcsw, Pllc | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2016-08-18 |
| 1336517242 | Long Island Medical Office, Pllc | Physical Medicine & Rehabilitation | 363 Route 111, Suite 107b, Smithtown, NY 11787-4756 | 2015-09-09 |
| 1932516911 | Gateway Counseling Lcsw Pllc | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4750 | 2014-07-22 |
| 1174896021 | Matthew D Gee, Lcsw, Phd, LLC | Social Worker | 363 Route 111, Suite 103, Smithtown, NY 11787-4756 | 2012-02-22 |
| 1225325194 | Osteo Relief of Long Island PC | Physical Medicine & Rehabilitation | 363 Route 111, Suite 107, Smithtown, NY 11787-4756 | 2011-06-29 |
| 1699071233 | Smitha S Nair | Physical Therapist | 363 Route 111, Suite 107, Smithtown, NY 11787-4756 | 2011-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219855 | Jennifer Elizabeth Leupold | Acupuncturist | 2 Brooksite Dr Ste 220, Smithtown, NY 11787-3492 | 2020-06-15 |
| 1134768732 | East Main Street Acupuncture Pllc | Acupuncturist | 300 E Main St Ste 2, Smithtown, NY 11787-2900 | 2019-12-30 |
| 1306405626 | Xinping Cao | Acupuncturist | 323 E Middle Country Rd Ste 3, Smithtown, NY 11787-2822 | 2019-06-10 |
| 1083104160 | Christopher King | Acupuncturist | 363 Route 111 Ste Ll8, Smithtown, NY 11787-4767 | 2018-05-15 |
| 1578098059 | Ece Algur | Acupuncturist | 12 Hemlock Ln, Smithtown, NY 11787-3740 | 2017-04-21 |
| 1164974713 | The Wellness Nook | Acupuncturist | 116 Terry Rd, Suite 200, Smithtown, NY 11787-3896 | 2016-10-31 |
| 1609270909 | Wolf Moon Inc | Acupuncturist | 875 W Jericho Tpke, Smithtown, NY 11787-3229 | 2014-10-15 |
| 1124345459 | Michelle Lieberman | Acupuncturist | 14 Franciscan Ln, Smithtown, NY 11787-1060 | 2010-04-26 |
| 1568644300 | Jennifer Muilenburg | Acupuncturist | 19 Grassy Pond Dr, Smithtown, NY 11787-4027 | 2007-12-04 |
| 1619191145 | Marian V Callahan | Acupuncturist | 777 Meadow Rd, Smithtown, NY 11787-1621 | 2007-04-13 |
| Find all providers in SMITHTOWN | ||||
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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.