MRS. SHANNON MOORE JOHNSON (NPI# 1568550077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568550077 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MOORE JOHNSON |
| Credential | LISAC, BA |
| Practice Address |
12033 Agency Rd Ste 730 Parker AZ 85344-7718 |
| Practice Telephone | 9286693256 |
| Practice Fax Number | 9286693252 |
| Mailing Telephone | 9286693256 |
| Mailing Fax Number | 9286693252 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC0725 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 893885 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787579 | Shannon R Johnson | Physical Therapy Assistant | 2030 N 15th Rd, Streator, IL 61364-9754 | 2020-04-01 |
| 1225688146 | Shannon D Johnson | Counselor | 505 University Dr E Ste 501, College Station, TX 77840-1797 | 2019-09-12 |
| 1174184402 | Shannon Symone Johnson | Registered Nurse | 1120 Country View Ln Apt 11d, Toledo, OH 43615-8315 | 2019-06-26 |
| 1114435484 | Shannon Marie Johnson | Nurse Practitioner | 120 Horton Ln, Belvidere, TN 37306-2109 | 2018-01-19 |
| 1972859478 | Shannon Johnson | Counselor | 2502 Beech St Unit 6, Valparaiso, IN 46383-6214 | 2012-08-02 |
| 1295012508 | Shannon Christina Johnson | Physician Assistant | 13111 E. Briarwood Ave #15, Centennial, CO 80112 | 2011-11-15 |
| 1689815771 | Shannon Marie Johnson | Speech-Language Pathologist | 1567 Elmwood Ave, Apt6, Rochester, NY 14620-3616 | 2009-03-18 |
| 1801080619 | Shannon Marie Johnson | Nurse Practitioner | 7900 Highway 76, Pendleton, SC 29670-8876 | 2007-09-05 |
| 1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| Street Address |
12033 AGENCY RD STE 730 |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508422619 | Bill E Anderson | Counselor | 17388 Nature Walk Trl # 8-108, Parker, CO 80134-5262 | 2019-05-14 |
| 1750759676 | Caroline Metcalf | Counselor | 12896 Ironstone Way, Apt 204, Parker, CO 80134-7109 | 2015-09-09 |
| 1881061711 | First Step Counseling | Counselor | 10292 S Progress Way, Parker, CO 80134-4045 | 2015-08-26 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1851656342 | Karen Moreau & Associates | Counselor | 11027 S Pikes Peak Dr Ste 204, Parker, CO 80138-7356 | 2012-07-10 |
| 1437398161 | Desiree Ann Murray | Counselor | 19557 E Mainstreet, Suite 103, Parker, CO 80138-7393 | 2009-02-19 |
| 1548410707 | Debra A. Baty | Counselor | 2572 Eileen Way, Parker, CO 80138-4561 | 2008-09-24 |
| 1417118902 | Katrina Jarman | Counselor | 10214 Progress Ln, Parker, CO 80134-9026 | 2008-06-18 |
| 1235307729 | Mark Wade Blakeley | Counselor | 17155 Holyoke Court, Parker, CO 80134 | 2008-02-18 |
| 1023188521 | Shawn E Griffin | Counselor | 18425 Pony Express Dr, Suite 203, Parker, CO 80134-9605 | 2006-11-09 |
| Find all providers in PARKER | ||||
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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.