SHANNON JEWEL WATSON (NPI# 1609499391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609499391 |
| Entity Type | Individual |
| Full Name | SHANNON JEWEL WATSON |
| Credential | PA |
| Practice Address |
2570 48th St Sacramento CA 95817-1541 |
| Mailing Address |
5124 U St Sacramento CA 95817-1644 |
| Practice Telephone | 9167342145 |
| Mailing Telephone | 5306514572 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555129 | Shannon Watson | Social Worker | 613 National Ave, Terrytown, LA 70056-2907 | 2020-10-14 |
| 1558916304 | Shannon Watson | Social Worker | 5000 S 5th Ave Unit 2south, Hines, IL 60141-3030 | 2019-08-08 |
| 1205342722 | Shannon S Watson | Speech-Language Pathologist | 165 Dodds Ct, Burlington, VT 05408-2648 | 2017-12-20 |
| 1689045429 | Shannon Watson | Psychologist | 1061 Bayview St, Holly Hill, SC 29059-8583 | 2015-10-19 |
| 1497030761 | Shannon O Watson | Occupational Therapist | 3450 W Kent Dr, Chandler, AZ 85226-1426 | 2011-10-18 |
| 1639343585 | Shannon Gerald Watson | Chiropractor | 18103 Coastline Dr. #5, Malibu, CA 90265-5744 | 2008-04-22 |
| 1013481654 | Shannon Watson | Behavior Technician | 21000 S Frankfort Square Rd, Frankfort, IL 60423-9385 | 2019-01-16 |
| 1336658798 | Shannon Watson | Home Health | 609 S 2nd St, Smithfield, NC 27577-4343 | 2017-09-28 |
| 1720539141 | Shannon Watson | Licensed Vocational Nurse | 101 Gough St, San Francisco, CA 94102-5903 | 2016-10-20 |
| 1265744817 | Shannon Watson | Pharmacist | 10900d Research Blvd # D, Austin, TX 78759-5720 | 2010-07-12 |
| Street Address |
2570 48TH ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| 1457997892 | Letty Liang | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-11-20 |
| 1841832383 | Brittany Jane Morris | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-10-16 |
| 1548801459 | Kelly Lu | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-10-01 |
| 1447801840 | Elizabeth Lyford | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-09-26 |
| 1710534342 | Robin M Linville | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-08-19 |
| 1164077004 | Alexa Herzig | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-08-07 |
| 1497307656 | Jonathan Edward Lippman | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-07-09 |
| 1164084406 | Jessica Holum | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-07-08 |
| 1932760857 | Samantha Jacinto | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271587 | Vera Pavlovna Kondrashov | Physician Assistant | 1860 Howe Ave Ste 455, Sacramento, CA 95825-1086 | 2020-10-04 |
| 1861017691 | Kathryn Anne Pashalides | Physician Assistant | 1400 57th St, Sacramento, CA 95819-4205 | 2020-06-08 |
| 1396369567 | Isabelle Shapiro | Physician Assistant | 1411 U St, Sacramento, CA 95818-1416 | 2020-06-03 |
| 1487276382 | Ndaya Briana Kalambay | Physician Assistant | 3910 Auburn Blvd Apt 68, Sacramento, CA 95821-2130 | 2020-05-13 |
| 1053942888 | Eduardo Sevilla | Physician Assistant | 8129 Polo Crosse Ave, Sacramento, CA 95829-6546 | 2020-01-30 |
| 1316582695 | Lauren Hunter | Physician Assistant | 6600 Bruceville Rd Rm 1h5, Sacramento, CA 95823-4671 | 2019-11-11 |
| 1942841176 | Kimia Ighani | Physician Assistant | 3429 2nd Ave, Sacramento, CA 95817-2802 | 2019-09-29 |
| 1386290195 | Anthony Menacho | Physician Assistant | 2472 Larkspur Ln Apt 363, Sacramento, CA 95825-4153 | 2019-08-16 |
| 1891341178 | Ebtesam Gerges | Physician Assistant | 4411 4th Ave Apt B, Sacramento, CA 95817-3059 | 2019-08-13 |
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.