SHANNON DAVIS (NPI# 1558987248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558987248 |
| Entity Type | Individual |
| Full Name | SHANNON DAVIS |
| Credential | LPN |
| Practice Address |
790 Roberts Dr Monticello AR 71655-5723 |
| Practice Telephone | 8703672461 |
| Practice Fax Number | 8704606133 |
| Mailing Telephone | 8703672461 |
| Mailing Fax Number | 8704606133 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740341 | Shannon Davis | Technician | 330 Wilson St, Madison, WV 25130-1368 | 2020-08-12 |
| 1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
| 1780244707 | Shannon N. Davis | Case Management | 720 Beaufort St Apt 6, Laramie, WY 82072-1741 | 2019-06-20 |
| 1841666948 | Shannon Davis | Physical Therapist | 1485 Nettle Creek Way, Chula Vista, CA 91915-1632 | 2015-08-12 |
| 1588093132 | Shannon Davis | Counselor | 8504 Nbu, Prague, OK 74864-5024 | 2013-11-04 |
| 1144506122 | Shannon Marie Davis | Physical Therapist | 9106 Cool Hollow Ter, Hagerstown, MD 21740-8949 | 2011-10-22 |
| 1538485982 | Shannon Lea Davis | Occupational Therapist | 1181 Forest Bay Dr, Waterford, MI 48328-4289 | 2010-04-09 |
| 1366519316 | Shannon A Davis | Speech-Language Pathologist | 140 Pennock Landing Cir, Jupiter, FL 33458-4020 | 2006-11-28 |
| 1154401529 | Shannon Marie Davis | Counselor | 365 118th Ave Se Ste 110, Bellevue, WA 98005-3557 | 2006-10-17 |
| 1689764318 | Shannon Davis | Psychologist | 17034 Chesterfield Estates Ct, Chesterfield, MO 63005-4471 | 2006-10-13 |
| Street Address |
790 ROBERTS DR |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-5723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114995198 | Althea T Conley | Psychiatry & Neurology | 790 Roberts Dr, Monticello, AR 71655-5723 | 2006-03-08 |
| 1518583293 | Katy Streeter | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2020-06-18 |
| 1841822970 | April Gardner | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2020-02-06 |
| 1396261418 | Jason A Palmer | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2017-08-21 |
| 1164950705 | Clare N Franklin | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2017-05-26 |
| 1770936064 | Jennifer Nichols | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2016-07-21 |
| 1689027971 | Martha Taylor | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2016-07-21 |
| 1902284979 | John Edward Bolding | Social Worker | 790 Roberts Dr, Monticello, AR 71655-5723 | 2015-05-11 |
| 1518271477 | Lesa Kilpatrick | Social Worker | 790 Roberts Dr, Monticello, AR 71655-5723 | 2010-08-03 |
| 1750603999 | Michael Andrew Brannon | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2010-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1255861175 | Casey Smith | Case Manager/Care Coordinator | 600 Highway 425 N Ste B, Monticello, AR 71655-4020 | 2017-06-13 |
| 1861814899 | Carla Candy Groce | Case Manager/Care Coordinator | 735 W Columbia Ave, Monticello, KY 42633-1627 | 2014-01-10 |
| 1285869552 | Hannah M Ransom | Case Manager/Care Coordinator | 1010 N Mulberry St, Monticello, FL 32344-1534 | 2009-05-15 |
| 1588783070 | Julie K Mcclellan | Case Manager/Care Coordinator | 301 Mary Linda St, Monticello, KY 42633-1027 | 2007-03-28 |
| 1861516163 | Jessica L Riddle | Case Manager/Care Coordinator | Rr 6 Box 1754, West Hwy. 90, Monticello, KY 42633-3507 | 2007-03-19 |
| 1518583293 | Katy Streeter | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2020-06-18 |
| 1356967004 | Minerva Huante | Case Manager/Care Coordinator | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2020-06-18 |
| 1841822970 | April Gardner | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2020-02-06 |
| 1316585011 | Dadrian Smith | Case Manager/Care Coordinator | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-12-13 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
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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.