DR. SHANNON MICHAEL CARROLL (NPI# 1639658412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639658412 |
| Entity Type | Individual |
| Full Name | DR. SHANNON MICHAEL CARROLL |
| Credential | DPT |
| Practice Address |
16550 W 78th St Ste B Eden Prairie MN 55346-4316 |
| Practice Telephone | 9528737400 |
| Enumeration Date | 2018-08-12 |
| Last Update Date | 2018-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11245 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417503152 | Shannon C Carroll | In Home Supportive Care | 405 Buchanan St, Richlands, VA 24641-2414 | 2019-08-16 |
| 1215599170 | Shannon Joan Carroll | Nurse Practitioner | 1448 Richardson St, Baltimore, MD 21230-5322 | 2019-07-01 |
| 1518440429 | Shannon Mikeal Carroll | Social Worker | 2640 International Blvd, Oakland, CA 94601-1512 | 2018-09-07 |
| 1043754955 | Shannon Carroll | Counselor | 120 N Roanoke, Hines, OR 97738 | 2016-12-12 |
| 1740639376 | Shannon Grace Carroll | Speech-Language Pathologist | 12908 Kachina Pl Ne Apt C, Albuquerque, NM 87112-3706 | 2016-06-04 |
| 1912251273 | Shannon Carroll | Speech-Language Pathologist | 7719 224th St E, Graham, WA 98338-7361 | 2012-11-07 |
| 1649737065 | Shannon Carroll | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3894 | 2019-02-21 |
| 1760955405 | Shannon Leigh Carroll | Behavior Technician | 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 | 2019-01-04 |
| 1932592797 | Shannon Carroll | Family Medicine | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2015-03-17 |
| 1932515962 | Shannon Eugene Carroll | Nurse Practitioner | 726 Broadway, Suite 471, New York, NY 10003-9502 | 2014-07-10 |
| Street Address |
16550 W 78TH ST STE B |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55346-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588914014 | Hannah Marie Franz | Physical Therapy Assistant | 16550 W 78th St Ste B, Eden Prairie, MN 55346-4316 | 2012-09-12 |
| 1407265747 | Britany Schulz | Specialist/Technologist | 16550 W 78th St Ste B, Eden Prairie, MN 55346-4316 | 2014-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608874 | Maria Phelps | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346 | 2020-01-14 |
| 1225447113 | Abby Johnson | Specialist/Technologist | 16550 W 78th Street, Suite B, Eden Prairie, MN 55346 | 2014-08-05 |
| 1891891438 | Celleration Inc | Durable Medical Equipment & Medical Supplies | 6321 Bury Drive Suite 15, Celleration, Inc, Eden Prairie, MN 55346 | 2006-09-14 |
| 1407863012 | Matthew Reece Meyer | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1902859887 | Minnesota Medical Scanning Corporation | Radiology | 16570 West 78th Street, Ste 1, Eden Prairie, MN 55346 | 2006-05-19 |
| 1821098369 | Linda Eld | Nurse Practitioner | 16490 W 78th St, Eden Prairie, MN 55346 | 2005-07-27 |
| 1649761735 | Kevin Rodda | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346 | 2018-05-23 |
| 1285641803 | Anthony August Pesola | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1508873118 | Osberg Pesola Scamp Kaivo Dds Pa | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1831106442 | James Charles Osberg | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| Find all providers in zip 55346 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
| Find all providers with the same taxonomy | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55346 |
Please comment or provide details below to improve the information on DR. SHANNON MICHAEL CARROLL.
| 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.