SHANNON LALLI (NPI# 1609276476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609276476 |
| Entity Type | Individual |
| Full Name | SHANNON LALLI |
| Practice Address |
379 Sherman Ave Hawthorne NY 10532-1421 |
| Practice Telephone | 9143563577 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
379 SHERMAN AVE |
| City | HAWTHORNE |
| State | NY |
| Zip Code | 10532-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
| 1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
| 1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
| 1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
| 1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
| 1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Find all providers in zip 10532 | ||||
| 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 |
|---|---|---|---|---|
| 1295346930 | Katrina Tessa Hernandez | Student in an Organized Health Care Education/Training Program | 2598 Griffith Ct, Hawthorne, CA 90250-1662 | 2020-08-15 |
| 1801404439 | Olivia Denise Ramirez | Student in an Organized Health Care Education/Training Program | 4925 W 135th St, Hawthorne, CA 90250-5625 | 2020-07-20 |
| 1477012516 | Amanda Erica Bailey | Student in an Organized Health Care Education/Training Program | 12700 Kornblum Ave, Hawthorne, CA 90250-4767 | 2019-03-18 |
| 1952834632 | Catherine Stanecki | Student in an Organized Health Care Education/Training Program | 14901 Fonthill Ave, Hawthorne, CA 90250-8429 | 2017-04-09 |
| 1588197487 | Roger Baril | Student in an Organized Health Care Education/Training Program | 12024 Oxford Ave, Hawthorne, CA 90250-3124 | 2017-04-06 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1497042683 | Melvina Chidiuto Akwaja | Student in an Organized Health Care Education/Training Program | 11963 Grevillea Ave Apt F, Hawthorne, CA 90250-2906 | 2011-07-07 |
| 1528224029 | Harbor Ucla Medical Center | Student in an Organized Health Care Education/Training Program | 4012 W 129th St, Apt. #3, Hawthorne, CA 90250-5245 | 2008-08-04 |
| 1568946986 | Berline Borno | Student in an Organized Health Care Education/Training Program | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2018-09-21 |
| 1992289458 | Daniel Pinter | Student in an Organized Health Care Education/Training Program | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2018-09-20 |
| Find all providers in HAWTHORNE | ||||
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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.