SHANNON EDWARDS (NPI# 1568872026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568872026 |
| Entity Type | Individual |
| Full Name | SHANNON EDWARDS |
| Practice Address |
1330 E Cooley Dr Colton CA 92324-3905 |
| Practice Telephone | 9094635042 |
| Mailing Telephone | 9094635042 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965277 | Shannon Janelle Edwards | Massage Therapist | 1954 Division St Nw Unit B, Olympia, WA 98502-4239 | 2019-07-25 |
| 1215239181 | Shannon Marie Edwards | Psychologist | 37 Southern Ave, Floor 2 - Right, Pittsburgh, PA 15211-1927 | 2010-11-29 |
| 1679775985 | Shannon Nicole Edwards | Marriage & Family Therapist | 1259 16th Ave, Apt 3, San Francisco, CA 94122-2025 | 2007-05-31 |
| 1205316775 | Shannon A Edwards | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-08-15 |
| 1134622293 | Shannon Edwards | Counselor | 1266 14th St, Oakland, CA 94607 | 2018-03-15 |
| 1457518821 | Shannon D. Edwards | Internal Medicine | 2710 Rife Medical Ln, Rogers, AR 72758-1452 | 2008-05-21 |
| 1518098680 | Shannon Covey Edwards | Licensed Vocational Nurse | 4025 W 226th St, Torrance, CA 90505-2340 | 2007-03-08 |
| Street Address |
1330 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457459877 | Randall Lyle Kerr | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2006-09-20 |
| 1417569070 | Veronica Saenz | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-08-17 |
| 1255957486 | Dpartment of Behavioral Health | Clinic/Center | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-06-23 |
| 1871113548 | Winston James Williams | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-04-22 |
| 1114579117 | Shaneece Williams | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2019-07-10 |
| 1437658929 | Mary Sodiyan | Registered Nurse | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2018-02-09 |
| 1982124897 | Elizabeth Marie Maldonado | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-21 |
| 1346778446 | Zachary Robert Eckert | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-01 |
| 1972030575 | Angel Magallanes | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-05-15 |
| 1740720580 | Melissa Daniels | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225420201 | Anthony Shawn Carson | Counselor | 1400 E Cooley Dr Ste 200a, Colton, CA 92324-3939 | 2015-02-27 |
| 1154749463 | Walter Quintanilla | Counselor | 790 S. Via Lata Ste 300, Colton, CA 92334 | 2014-04-03 |
| 1952646093 | Ninyette Alicia-carrillo Estrada | Counselor | 760 Via Lata Ste 250, Colton, CA 92324-3977 | 2012-11-29 |
| 1174880553 | Preciosa M Brandow | Counselor | 1060 E Cooley Dr, Colton, CA 92324-3924 | 2012-04-23 |
| 1922234327 | Suzanne J Tolomeo | Counselor | 240 Gulf Rd, Colton, NY 13625-3188 | 2009-06-01 |
| 1316105208 | Kristin Lynn Baumgarten | Counselor | 1330 Cooley Dr, Colton, CA 92324 | 2008-05-28 |
| 1528225406 | Gurmeet S Multani | Counselor | 1880 E Washington St, Colton, CA 92324-4621 | 2008-05-19 |
| 1841474095 | Robert Moreno | Counselor | 790 Via Lata Ste 300, Colton, CA 92324-3978 | 2007-12-24 |
| 1336336247 | Christine R Pulido | Counselor | 1430 E. Cooley Dr Suite 240, Colton, CA 92324 | 2007-09-25 |
| 1740472422 | Pacific Forenisc Psychology | Counselor | 1025 S Mount Vernon Ave Ste A, Colton, CA 92324-4226 | 2007-08-15 |
| Find all providers in COLTON | ||||
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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.