SHANNON LYNE BANNER (NPI# 1619478823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619478823 |
| Entity Type | Individual |
| Full Name | SHANNON LYNE BANNER |
| Practice Address |
3709 Hancock St Amarillo TX 79109-4215 |
| Practice Telephone | 8064772203 |
| Mailing Telephone | 8064772203 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 844719 | TX | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 163WOOOOOX | 05 |
| Street Address |
3709 HANCOCK ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841831260 | Brandy Moultrie | Registered Nurse | 6300 W Interstate 40 Ste 110, Amarillo, TX 79106-2518 | 2019-10-07 |
| 1740845106 | Marva Lyn Dix | Registered Nurse | 4415 S Mirror St, Amarillo, TX 79118-6734 | 2019-05-01 |
| 1225594609 | Tacy Lynn Bennett | Registered Nurse | 4711 S Virginia St Apt 1802, Amarillo, TX 79109-6090 | 2019-02-11 |
| 1285104927 | Maria Caballero | Registered Nurse | 315 S Independence St, Amarillo, TX 79106-7877 | 2018-11-26 |
| 1750866943 | Jonathan Urias | Registered Nurse | 3200 Hodges St, Amarillo, TX 79103-7324 | 2018-10-03 |
| 1811478993 | Casey Leigh Johnson | Registered Nurse | 1109 Broadmoor St, Amarillo, TX 79106-5530 | 2018-08-27 |
| 1902386253 | Rebecca Guzman | Registered Nurse | 5601 Bell St Apt 1602, Amarillo, TX 79109-6242 | 2018-08-16 |
| 1861972341 | Kevin Mark Taylor | Registered Nurse | 3620 S Ong St, Amarillo, TX 79110-1337 | 2018-08-15 |
| 1588144141 | Makayla Miller | Registered Nurse | 254 Fm 2575, Amarillo, TX 79108-8406 | 2018-08-14 |
| 1871072496 | Pamela Rector | Registered Nurse | 3001 Sw 58th Ave Apt 1807, Amarillo, TX 79118-1241 | 2018-08-14 |
| Find all providers in AMARILLO | ||||
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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.