SHAWN MINOR (NPI# 1558605592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558605592 |
| Entity Type | Individual |
| Full Name | SHAWN MINOR |
| Practice Address |
32583 W 172nd St Gardner KS 66030-9220 |
| Practice Telephone | 9135159719 |
| Practice Fax Number | 9139384316 |
| Mailing Telephone | 9135159719 |
| Mailing Fax Number | 9139384316 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438715 | Shawn E. Minor | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-21 |
| Street Address |
32583 W 172ND ST |
| City | GARDNER |
| State | KS |
| Zip Code | 66030-9220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053340 | Arismun Bobby Rattanapon | Student in an Organized Health Care Education/Training Program | 320 W Westhoff Pl, Gardner, KS 66030 | 2018-11-27 |
| 1790273282 | Amy Michelle Bokelman | Pharmacist | 1725 E Sante Fe St, Gardner, KS 66030 | 2018-04-30 |
| 1720450422 | Sheila Mcniff | Pharmacist | 1725 East Santa Fe Street, Gardner, KS 66030 | 2015-10-21 |
| 1609061795 | Cook Family Chiropractic Inc. | Chiropractor | 969 E. Lincoln Ln., Gardner, KS 66030 | 2007-09-11 |
| 1306057716 | Paul D. Mabe, Dds, Chartered | Dentist | 971 E. Lincoln Ln., Gardner, KS 66030 | 2007-05-25 |
| 1396954483 | Brian Todd Cook | Chiropractor | 969 E. Lincoln Lane, Gardner, KS 66030 | 2007-05-22 |
| 1619198116 | Toni Eyer | Occupational Therapy Assistant | 223 Bedford Street, Gardner, KS 66030 | 2007-05-01 |
| 1598855389 | Kristin Mary Vanbecelaere | Optometrist | 1555 E Santa Fe St, Gardner, KS 66030 | 2006-10-13 |
| 1104926997 | Wal-mart Stores, Inc. | Technician/Technologist | 1555 E. Santa Fe St., Gardner, KS 66030 | 2006-09-22 |
| 1861445561 | John L Sherard | Family Medicine | 18320 So Center St, Gardner, KS 66030 | 2006-05-17 |
| Find all providers in zip 66030 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247858 | Rising Phoenix Community Living, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1414 W 6th St Ste 101, Lawrence, KS 66044-2266 | 2017-07-13 |
| 1427589993 | Succor Adult Care Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13725 Metcalf Ave # 241, Overland Park, KS 66223-7899 | 2017-03-25 |
| 1174986392 | Transitions Youth Homes, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2426 E Conquest St, Wichita, KS 67219-4768 | 2016-04-04 |
| 1427425115 | Samantha Collins | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 710 Sw Fairlawn Rd Apt 301a, Topeka, KS 66606-2374 | 2015-08-28 |
| 1447677935 | Shirley Kay Mcdonald | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1306 Belton St, Iola, KS 66749-3057 | 2014-03-24 |
| 1427487602 | Heartland Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8137 Santa Fe Dr, Overland Park, KS 66204-3607 | 2013-11-07 |
| 1093003063 | Happy Sun Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8405 Carter St, Overland Park, KS 66212-4464 | 2011-07-12 |
| 1740598796 | Double Quality Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2338 Se Madison St, Topeka, KS 66605-1151 | 2010-09-23 |
| 1104013754 | Latundra R Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14013 Garnett St, Overland Park, KS 66221-2807 | 2007-09-27 |
| 1558570549 | Residential Alternatives, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 Crossgate Dr, Lawrence, KS 66047-3515 | 2007-05-22 |
| 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.