SHANNON ELIZABETH WASLEY (NPI# 1568899755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568899755 |
| Entity Type | Individual |
| Full Name | SHANNON ELIZABETH WASLEY |
| Practice Address |
8101 Hanna Ave Canoga Park CA 91304-3833 |
| Practice Telephone | 8182887081 |
| Mailing Telephone | 8182887081 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8101 HANNA AVE |
| City | CANOGA PARK |
| State | CA |
| Zip Code | 91304-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447860861 | A Plus Rainbow Hospice, Inc. | Hospice Care, Community Based | 8374 Topanga Canyon Blvd Suite 207, Canoga Park, CA 91304 | 2020-08-01 |
| 1447874516 | California Care Wellness Medical Center Inc. | Internal Medicine | 8374 Topanga Canyon Blvd Ste 210, Canoga Park, CA 91304 | 2020-06-03 |
| 1871129288 | Trusted Home Health Care Services | Home Health | 8374 Topanga Blvd, Unit 211, Canoga Park, CA 91304 | 2020-03-17 |
| 1356822951 | Rebecca Richmond | Nurse Practitioner | 8900 De Soto Ave, Canoga Park, CA 91304 | 2018-08-22 |
| 1225553142 | Safety Med Transport Inc. | Non-emergency Medical Transport (VAN) | 8374 Topanga Canyon Blvd Unit 211, Canoga Park, CA 91304 | 2017-08-11 |
| 1487014262 | American Unique Staff Provider | Home Health | 8761 De Soto Ave, Suite 127, Canoga Park, CA 91304 | 2016-03-07 |
| 1013376532 | Salia Ashtiani | Behavioral Analyst | 7624 Royer Avenue, West Hills, CA 91304 | 2016-02-11 |
| 1598156119 | Rita M. Antolin Dds A Professional Corporation | Health Maintenance Organization | 21301a Saticoy Street, Canoga Park, CA 91304 | 2015-02-18 |
| 1609290188 | Jennifer Gonzales Asuncion | Physical Therapist | 8306 Kentland Ave., West Hills, CA 91304 | 2014-02-05 |
| 1174873897 | Norman Carabet | General Practice | 7730 Graystone Dr, West Hills, CA 91304 | 2012-09-11 |
| Find all providers in zip 91304 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344910 | Katherine N Lang | Student in an Organized Health Care Education/Training Program | 6800 Owensmouth Ave, Canoga Park, CA 91303-3159 | 2018-11-05 |
| 1730661851 | Joseph Khedry Abdelmesseh | Student in an Organized Health Care Education/Training Program | 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303-4255 | 2018-09-05 |
| 1548704851 | Mona Avaz | Student in an Organized Health Care Education/Training Program | 7621 Canoga Ave, Canoga Park, CA 91304-4912 | 2016-12-06 |
| 1245787290 | Sylvia Mejia | Student in an Organized Health Care Education/Training Program | 6800 Owensmouth Ave, #160, Canoga Park, CA 91303-3159 | 2016-09-07 |
| 1366816092 | Heliud Samuel Garcia Jr. | Student in an Organized Health Care Education/Training Program | 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303-4255 | 2015-11-18 |
| 1265868541 | Maria Janette Esparza | Student in an Organized Health Care Education/Training Program | 6800 Owensmouth Ave Ste 310, Canoga Park, CA 91303-4245 | 2013-09-18 |
| 1538493085 | Rama Nosrati | Student in an Organized Health Care Education/Training Program | 7621 Canoga Ave, Canoga Park, CA 91304-4912 | 2009-09-30 |
| 1578708202 | Alica Cruz | Student in an Organized Health Care Education/Training Program | 7621 Canoga Ave, Canoga Park, CA 91304-4912 | 2008-12-09 |
| 1790932846 | Amy Goldring Firestein | Student in an Organized Health Care Education/Training Program | 7621 Canoga Ave, Canoga Park, CA 91304-4912 | 2008-08-20 |
| 1851450787 | Maryam Shamaei-tousi | Student in an Organized Health Care Education/Training Program | 7621 Canoga Ave, Canoga Park, CA 91304-4912 | 2006-12-06 |
| Find all providers in CANOGA PARK | ||||
| City | CANOGA PARK |
| Zip Code | 91304 |
Please comment or provide details below to improve the information on SHANNON ELIZABETH WASLEY.
| 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.