SHANNON MARISSA HOLDREN


Address: 621 N Hall St, Dallas, TX 75226-1339
Phone: 2148200667

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 8th Ave, Fort Worth, TX 761044110 8179221158

Office Location

Street Address 621 N HALL ST
City DALLAS
State TX
Zip Code 75226-1339

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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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Competitor

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City DALLAS
Zip Code 75226

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Dataset Information

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.

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