SHANNON K. GRAY (NPI# 1568827749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568827749 |
| Entity Type | Individual |
| Full Name | SHANNON K. GRAY |
| Credential | RPH,CDE |
| Practice Address |
1594 Freedom Blvd Suite 102 B Florence SC 29505-6046 |
| Practice Telephone | 8436742700 |
| Practice Fax Number | 8436742729 |
| Mailing Telephone | 8436742700 |
| Mailing Fax Number | 8436742729 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 9108 | SC | Pharmacy Service Providers |
| Y | 174H00000X | Health Educator | 21410166 | SC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730300 | Shannon Gray | Dietitian, Registered | 12 Paoli Pike, Paoli, PA 19301-1854 | 2019-09-25 |
| 1205366705 | Shannon Ann Gray | Case Manager/Care Coordinator | 1542 E 74th St, Tulsa, OK 74136-7334 | 2017-06-15 |
| 1962771626 | Shannon Marie Gray | Counselor | Highway 25 W, Pittsburgh, KY 40755 | 2011-12-23 |
| 1316255441 | Shannon Demetris Gray | Licensed Vocational Nurse | 2290 Willowbrook Ln, Perris, CA 92571-3517 | 2010-09-23 |
| 1699319020 | Shannon Renae Gray | Chore Provider | 2670 Crimson Canyon Dr Ste 150, Las Vegas, NV 89128-0848 | 2019-10-29 |
| 1750898714 | Shannon Gray | Clinic/Center | 605 N Gilbert Rd, Mesa, AZ 85203-6629 | 2017-12-29 |
| 1497267249 | Shannon Elizabeth Gray | Pediatrics | 9151 Ne 81st Ter Ste 240, Kansas City, MO 64158-1307 | 2017-11-02 |
| 1982142469 | Shannon Gray | Physical Therapy Assistant | 2200 Conner Rd, Hebron, KY 41048-8142 | 2017-02-06 |
| 1538533419 | Shannon Gray | Counselor | 12890 Quinta Way, Desert Hot Springs, CA 92240-4852 | 2015-11-16 |
| 1992011282 | Shannon E Gray | Physical Therapist | 1971 Western Ave, Albany, NY 12203-5066 | 2010-08-24 |
| Street Address |
1594 FREEDOM BLVD SUITE 102 B |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558325464 | Drs. Phillips and Coker | Obstetrics & Gynecology | 1594 Freedom Blvd, Florence, SC 29505-6046 | 2006-04-17 |
| 1679926935 | Kimberly Owens | Nurse Practitioner | 1594 Freedom Blvd, Florence, SC 29505-6046 | 2016-07-21 |
| 1619287455 | Rebecca Camp Harlan | Nurse Practitioner | 1594 Freedom Blvd, Florence, SC 29505-6046 | 2010-10-14 |
| 1841445244 | Carolinas Medical Alliance Inc | Internal Medicine | 1594 Freedom Blvd, Suite 102, Florence, SC 29505-6046 | 2008-11-26 |
| 1285820738 | Lindsay S Powell | Physician Assistant | 1594 Freedom Blvd, Suite 102b, Florence, SC 29505-6046 | 2007-09-19 |
| 1417156886 | Elijah D Owens | Psychiatry & Neurology | 1594 Freedom Blvd, Suite 305, Florence, SC 29505-6046 | 2007-07-16 |
| 1558395236 | Joel S Dekle | Family Medicine | 1594 Freedom Blvd, Ste 103, Florence, SC 29505 | 2006-07-10 |
| 1538198080 | Meenakshi A Pande | Internal Medicine | 1594 Freedom Blvd, Suite 102 B, Florence, SC 29501 | 2006-06-30 |
| 1588604433 | Jon H Docherty Sr. | Internal Medicine | 1594 Freedom Blvd, Suite 100, Florence, SC 29505-6046 | 2006-06-08 |
| 1356391759 | Carolinas Medical Alliance Inc | General Practice | 1594 Freedom Blvd, Ste 202, Florence, SC 29505-6046 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316495229 | Katie Terry | Health Educator | 605 Hermitage Dr, Florence, AL 35630-3658 | 2016-09-20 |
| 1235761339 | Sonda Jett-clair | Health Educator | 360 N Irby St, Florence, SC 29501-2808 | 2020-02-06 |
| 1801230321 | Carla Williams | Health Educator | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383911 | Kailani Ameele | Health Educator | 150 Howell Cir Apt 323, Greenville, SC 29615-4940 | 2020-07-13 |
| 1326665969 | Crystal Strong | Health Educator | 101 Birch Hollow Dr, Columbia, SC 29229-8207 | 2020-06-30 |
| 1629693999 | Kiara Aleese Peoples | Health Educator | 4001 Pelham Rd Apt 65, Greer, SC 29650-4311 | 2020-06-12 |
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1295361764 | Margaret K Peck | Health Educator | 1956 Long Creek Rd, Wadmalaw Island, SC 29487-7043 | 2020-03-17 |
| 1487280020 | Philip Andrew Smeltzer | Health Educator | 1 Poston Rd Ste 320, Charleston, SC 29407-3431 | 2020-03-16 |
| 1316401987 | Seemone Woodbury | Health Educator | 2306 4th Ave, Conway, SC 29527-5622 | 2019-01-28 |
| 1215460837 | Alicia Brown | Health Educator | 716 E Fairfield Rd Ste 121, Greenville, SC 29605-3688 | 2017-04-10 |
| 1407391428 | Young Men's Christian Association of Greenwood, S.c. | Health Educator | 1760 Calhoun Rd, Greenwood, SC 29649-8909 | 2016-12-29 |
| 1912442047 | Summerville Family Young Men's Christian Association | Health Educator | 140 S Cedar St, Summerville, SC 29483-6014 | 2016-12-28 |
| 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.