SHANNON MARISSA HOLDREN (NPI# 1558851451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558851451 |
Entity Type | Individual |
Full Name | SHANNON MARISSA HOLDREN |
Credential | APRN |
Practice Address |
621 N Hall St Dallas TX 75226-1339 |
Practice Telephone | 2148200667 |
Mailing Telephone | 2148200667 |
Enumeration Date | 2018-05-16 |
Last Update Date | 2018-05-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP137503 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1400 8th Ave, Fort Worth, TX 761044110 | 8179221158 |
Street Address |
621 N HALL ST |
City | DALLAS |
State | TX |
Zip Code | 75226-1339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609855139 | Baylor Heart & Vascular Center LLP | Special Hospital | 621 N Hall St, Dallas, TX 75226-1339 | 2006-01-12 |
1174159438 | Anna Catherine Howard Wolynec | Nurse Practitioner | 621 N Hall St, Dallas, TX 75226-1339 | 2020-03-19 |
1821642760 | Kelly Nicole Dorsey | Nurse Practitioner | 621 N Hall St, Dallas, TX 75226-1339 | 2019-07-29 |
1780153775 | Tiffany Joco | Nurse Practitioner | 621 N Hall St, Dallas, TX 75226-1339 | 2018-11-19 |
1598277386 | Chelsea Leigh Hampton | Nurse Practitioner | 621 N Hall St, Dallas, TX 75226-1339 | 2017-11-01 |
1922553320 | Tneecia Applewhite | Nurse Practitioner | 621 N Hall St, Dallas, TX 75226-1339 | 2016-08-16 |
1750834164 | Marianne Siebert | Physician Assistant | 621 N Hall St, Suite 400, Dallas, TX 75226-1339 | 2016-08-02 |
1225493711 | Patricia Ann Melly | Physician Assistant | 621 N Hall St, Ste 530, Dallas, TX 75226-1339 | 2015-12-28 |
1023486057 | Baylor Heart & Vascular Center LLP | Physician Assistant | 621 N Hall St, Dallas, TX 75226-1339 | 2015-09-08 |
1689059966 | Bailey Marie Isenberg | Nurse Practitioner | 621 N Hall St, Suite 400, Dallas, TX 75226 | 2015-07-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942827894 | Kendra Jenay Dawson | Physical Therapist | Genesis Pt and Wellness, Pllc, 4428 Main Street Suite 100, Dallas, TX 75226 | 2020-06-26 |
1881180867 | Sara Bahmanyar | Dentist | 3000 Gaston Ave, 6th Floor, Attn: Oral & Maxillofacial Surgery, Dallas, TX 75226 | 2018-07-02 |
1437679669 | An Hai Van Dang | Dentist | 2732 Gaston Ave., 3210, Dallas, TN 75226 | 2017-06-20 |
1164847661 | Robert Fredrickson | Chiropractor | 4015 Main Street, Suite 100, Dallas, TX 75226 | 2014-02-20 |
1285826495 | Maninder Jeet Kaur | General Acute Care Hospital | Baylor Heart and Vascular Hospital, Dallas, TX 75226 | 2007-08-11 |
1124178827 | Westmoreland Dental & Orthodontics, Pa | Dentist | 4809 Columbia Avenue, Suite B, Dallas, TX 75226 | 2007-01-12 |
1912918798 | Texas A&m University System Health Science Center | Dentist | 3000 Gaston Ave, Dallas, TX 75226 | 2006-08-10 |
1750302725 | Dallas Compounding Phcy | Pharmacy | 3001 A Gaston Ave, Dallas, TX 75226 | 2006-07-22 |
1124645452 | Samir Gwalani | Student in an Organized Health Care Education/Training Program | 3000 Gaston Ave, 6th Floor, Dallas, TX 75226 | 2020-07-02 |
1831383116 | Texas A&m University System Health Science Center | Dentist | 3000 Gaston Ave, Dallas, TX 75226 | 2007-08-30 |
Find all providers in zip 75226 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669083077 | Renee Mieselle Lies | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-08-11 |
1518592534 | Raven Aravind | Nurse Practitioner | 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 | 2020-03-10 |
1366090417 | Maria Whitney Nance | Nurse Practitioner | 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 | 2019-09-02 |
1336708361 | Sunny Dedmon | Nurse Practitioner | 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 | 2019-06-12 |
1306401419 | Quatina Lasha Rivers-fleming | Nurse Practitioner | 522 Ivy Chase Loop, Dallas, GA 30157-0946 | 2019-05-03 |
1679136220 | Marvise Ijeoma Oduagu | Nurse Practitioner | 305 W Commerce St Apt 336, Dallas, TX 75208-1985 | 2019-04-19 |
1851860365 | Yoon Jung Ra | Nurse Practitioner | 2610 Allen St Apt 5410, Dallas, TX 75204-2447 | 2018-11-14 |
1134696453 | Mitchell Grayson Kelly | Nurse Practitioner | 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 | 2018-10-24 |
1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
1376900746 | Lashandra Gray | Nurse Practitioner | 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 | 2016-01-15 |
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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.