MRS. SHANNON L BLAIR (NPI# 1649317231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649317231 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON L BLAIR |
| Credential | M.S. |
| Practice Address |
6320 N 82nd St Scottsdale AZ 85250-5611 |
| Practice Telephone | 4084843100 |
| Practice Fax Number | 4084843101 |
| Mailing Telephone | 4084843100 |
| Mailing Fax Number | 4084843101 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS PROVIDER NUMBER | 625840 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798046 | Shannon S Blair | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Aveenue Suite 447, Memphis, TN 38163-0001 | 2020-04-06 |
| 1770857971 | Shannon Rae Blair | Massage Therapist | 103 Se First Street, Winlock, WA 98596 | 2012-03-06 |
| 1841823143 | Shannon Kelly Blair | Student in an Organized Health Care Education/Training Program | Msc11 6093 1 University of New Mexico, Albuquerque, NM 87131-4516 | 2020-02-15 |
| 1336606995 | Shannon Ranae Blair | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2019-03-01 |
| Street Address |
6320 N 82ND ST |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85250-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437690286 | Rosa Idalia Mariscal | Registered Nurse | 6320 N 82nd St, Scottsdale, AZ 85250-5611 | 2017-03-13 |
| 1891124111 | Kristen Nicole Stark | Registered Nurse | 6320 N 82nd St, Scottsdale, AZ 85250-5611 | 2013-11-06 |
| 1013291285 | Alida C Swart | Specialist/Technologist | 6320 N 82nd St, Scottsdale, AZ 85250-5611 | 2011-10-05 |
| 1063794402 | Scottsdale Unified School District | Clinic/Center | 6320 N 82nd St, Scottsdale, AZ 85250-5611 | 2011-09-12 |
| 1487960191 | Andrea Graffa | Speech-Language Pathologist | 6320 N 82nd St, Scottsdale, AZ 85250-5611 | 2010-08-19 |
| 1346376985 | Kim Padgett Maryhew | Speech-Language Pathologist | 6320 N 82nd St, Scottsdale, AZ 85250-5611 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437671518 | Daniel Gold | Dentist | 5900 N Granite Reef Rd Ste 100, Scottsdale, AZ 85250 | 2017-07-11 |
| 1417494584 | Clinical Logistics Solutions-southern Arizona, LLC | Physical Therapist | 6619 N Scottsdale Rd # 8, Scottsdale, AZ 85250 | 2017-01-26 |
| 1558815027 | Michelle Nicole Serrano | Optometrist | 8940 E Talking Stick Way # B3, Scottsdale, AZ 85250 | 2016-08-12 |
| 1275987794 | Jane Collins | Registered Nurse | 8500 E.jackrabbit Rd, Scottsdale, AZ 85250 | 2016-04-21 |
| 1548624562 | Wesley Hartman | Physical Therapy Assistant | 8115 E. Indian Bend Rd, Scottsdale, Scottsdale, AZ 85250 | 2016-04-06 |
| 1255752838 | Isaac Yosef | Naturopath | 5011 N. Granite Reef Rd., Scottsdale, AZ 85250 | 2013-12-26 |
| 1265863393 | John N. Simons | Plastic Surgery | 4800 North 68th Street, Scottsdale, AZ 85250 | 2013-11-27 |
| 1992046932 | Shannon Marie Fore | Counselor | 7500 E Mcdonald Dr Ste 400a, Scottsdale, AZ 85250 | 2013-03-14 |
| 1871892703 | Lamar Day Spa LLC | Reflexologist | 5115 N Scottsdale Rd, Scottsdale, AZ 85250 | 2011-03-17 |
| 1316267412 | Eileen Susan Ballungay | Occupational Therapist | 8115 E. Indian Bend Rd., Ste 123, Scottsdale, AZ 85250 | 2010-06-11 |
| Find all providers in zip 85250 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386037604 | Izabela Lange | Psychologist | 8333 E. Via Paseo Del Norte, 1031, Scottsdale, AZ 85258-9998 | 2015-03-11 |
| 1073855078 | Jennifer Marie Heil | Psychologist | 10055 N 142nd St Unit 1170, Scottsdale, AZ 85259-5525 | 2013-03-18 |
| 1255632360 | Ann E Bauermeister | Psychologist | 5049 E Sunnyside Dr, Scottsdale, AZ 85254-4672 | 2010-11-04 |
| 1366772659 | Barbara Konikowski | Psychologist | 6732 E Hubbell St, Scottsdale, AZ 85257-2528 | 2010-01-08 |
| 1801040878 | Matthew David Wickstrom | Psychologist | 27880 N 64th Street, Scottsdale, AZ 85262 | 2008-11-04 |
| 1437305489 | Marisa Beth Mackey-boyd | Psychologist | 8531 E San Jacinto Dr, Scottsdale, AZ 85258-2564 | 2008-08-11 |
| 1083827547 | Dalia Rostenberg | Psychologist | 6861 E Osborn Rd Unit D, Scottsdale, AZ 85251 | 2007-05-08 |
| 1376671875 | Carl Joseph Patrasso | Psychologist | 8566 E Mcdonald Dr, Scottsdale, AZ 85250-6329 | 2007-02-28 |
| 1811022304 | Howard C. Rush | Psychologist | 8755 E Monterey Way, Scottsdale, AZ 85251-5020 | 2007-02-23 |
| 1083769400 | Judy Ann Cluff | Psychologist | 701 N Miller Rd, Scottsdale, AZ 85257-4610 | 2007-01-24 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85250 |
Please comment or provide details below to improve the information on MRS. SHANNON L BLAIR.
| 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.