SHANNON NICOLE ROBERTS (NPI# 1629286869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629286869 |
| Entity Type | Individual |
| Full Name | SHANNON NICOLE ROBERTS |
| Credential | STNA, PCT, MT |
| Practice Address |
1813 Flinthill Dr Columbus OH 43223-3542 |
| Practice Telephone | 6143053569 |
| Mailing Telephone | 6143053569 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
OH | Nursing Service Related Providers | |
| X | 376K00000X | Nurse's Aide | 320578730298 | OH | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623691 | Shannon Monique Roberts | Behavior Technician | 6148 Passionate Ct, N Las Vegas, NV 89031-3538 | 2019-05-04 |
| 1215496005 | Shannon Ann Roberts | Behavior Technician | 432 West St, Gaylord, MI 49735-8301 | 2019-03-19 |
| 1235306119 | Shannon Roberts | Chiropractor | 3786 S East St, Indianapolis, IN 46227-1241 | 2008-05-10 |
| 1780742916 | Shannon Orlando Roberts | Respite Care | 3657 S Double Echo Rd, Tucson, AZ 85735-5132 | 2006-12-04 |
| 1255374880 | Shannon Leigh Roberts | Nurse Practitioner | 7744 Conner Rd, Powell, TN 37849-3509 | 2006-06-13 |
| 1578182101 | Shannon Leigh Roberts | Chiropractor | 11 E Calhoun St, Sumter, SC 29150-4315 | 2020-04-14 |
| 1073174215 | Shannon Roberts | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2019-06-27 |
| 1467817072 | Shannon Roberts | Specialist | 175 Burdette St, Spartanburg, SC 29307-1003 | 2015-12-24 |
| 1740535814 | Shannon Dobelbower Roberts | Dentist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2012-07-16 |
| 1992931380 | Shannon Roberts | Emergency Medicine | 7435 W Talcott Ave, Resurrection Emergency Medicine Residency Program, Chicago, IL 60631-3707 | 2009-05-31 |
| Street Address |
1813 FLINTHILL DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43223-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121879 | Select Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 1965 Zettler Center Dr, Columbus, OH 43223 | 2018-07-26 |
| 1659867778 | Latisha White | Licensed Practical Nurse | 765 Pierce Drive, Columbus, OH 43223 | 2018-07-02 |
| 1225522790 | Maressa K Carter | Behavior Technician | 735 Pierce Dr, Columbus, OH 43223 | 2018-06-19 |
| 1942704192 | Florence Arinaitwe | Counselor | Netcare Access, 199 S. Central Avenue, Columbus, OH 43223 | 2018-03-22 |
| 1659882256 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1605 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1679084271 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1625 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1740711365 | Heather Price | Counselor | 1788 Winding Field St, Columbus, OH 43223 | 2017-03-24 |
| 1477848133 | Anu Raghavan | Psychiatry & Neurology | 199 S. Central Ave, Columbus, OH 43223 | 2011-06-10 |
| 1588837728 | Pomegranate Health Systems of Central Ohio, Inc. | Psychiatric Hospital | 765 Pierce Dr., Columbus, OH 43223 | 2008-04-09 |
| Find all providers in zip 43223 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385656 | D'andra L Woods | Technician | 2210 Eden Ave, Columbus, OH 43224-1568 | 2020-10-29 |
| 1538769484 | Lisa Marie Keister | Technician | 4593 Rodney Rd, Columbus, OH 43227-1339 | 2020-10-29 |
| 1437759925 | Maria Exsentico | Technician | 3372 Norwalk Rd, Columbus, OH 43207-3331 | 2020-10-26 |
| 1396344982 | Ashley Carpenter | Technician | 1815 Case Rd, Columbus, OH 43224-2203 | 2020-10-23 |
| 1598363186 | Jared Buckingham | Technician | 1979 N 4th St, Columbus, OH 43201-1728 | 2020-10-15 |
| 1114525193 | Bivens Nursing Services | Technician | 1123 Brown Ave, Columbus, GA 31906-2404 | 2020-10-13 |
| 1144835711 | Balinda Kay Walters | Technician | 556 S Murray Hill Rd, Columbus, OH 43228-1952 | 2020-09-10 |
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1891359964 | Alisha D Saffold | Technician | 1374 Chesterton Sq S, Columbus, OH 43229-2649 | 2019-04-24 |
| 1942716956 | Matthew D Jones | Technician | 61 Sunnyside Ln, Columbus, OH 43214-1219 | 2017-12-28 |
| Find all providers in COLUMBUS | ||||
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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.