SHANNON CARROLL (NPI# 1649737065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649737065 |
| Entity Type | Individual |
| Full Name | SHANNON CARROLL |
| Credential | PA-C |
| Practice Address |
34 Maple St Norwalk CT 06850-3894 |
| Mailing Address |
184 Summer St Apt 704 Stamford CT 06901-2352 |
| Practice Telephone | 2038522000 |
| Mailing Telephone | 2039843641 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4387 | CT | Physician Assistants & Advanced Practice Nursing 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 |
| 1760955405 | Shannon Leigh Carroll | Behavior Technician | 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 | 2019-01-04 |
| 1639658412 | Shannon Michael Carroll | Physical Therapist | 16550 W 78th St Ste B, Eden Prairie, MN 55346-4316 | 2018-08-12 |
| 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 |
34 MAPLE ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-3894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208723 | Michael Carius | Emergency Medicine | 34 Maple St, Norwalk, CT 06850-3815 | 2005-07-14 |
| 1235740960 | Taylor Lin Nedurian | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3894 | 2020-08-14 |
| 1588275424 | Hope Walden | Nurse Practitioner | 34 Maple St, Norwalk, CT 06850-3815 | 2020-08-13 |
| 1215547534 | Karlen Rebecca Katz | Family Medicine | 34 Maple St, Norwalk, CT 06850-3894 | 2020-08-02 |
| 1710596754 | Lauren Matla | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3894 | 2020-07-27 |
| 1457960338 | Arianna Bailey | Registered Nurse | 34 Maple St, Norwalk, CT 06850-3894 | 2020-07-27 |
| 1417575457 | Anne Patricia Murphy | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3894 | 2020-07-07 |
| 1518584259 | Shelby L Finan | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3815 | 2020-06-29 |
| 1881219186 | Courtney Adair Chenault | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3815 | 2020-06-11 |
| 1639793557 | Larisa Ann Gillern | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3815 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497105092 | Brightview Norwalk, LLC | Alzheimer Center (Dementia Center) | 162 New Canaan Ave., Norwalk, CT 06850 | 2016-06-15 |
| 1518321306 | Megan Yee | Social Worker | 54 W. Norwalk Road, Norwalk, CT 06850 | 2016-04-08 |
| 1992129886 | Alicia Collen Zeidan | Nurse Practitioner | 10 Mott Ave Ste 2a, Norwalk, CT 06850 | 2014-02-12 |
| 1306194642 | Diane Beth Weiss | Specialist | 12 Rae Lane, Norwalk, CT 06850 | 2012-08-16 |
| 1538491170 | Thomas C. Santaniello | Dentist | 16 River Street, Norwalk, CT 06850 | 2010-02-08 |
| 1720226988 | Kathleen F Dayton | Counselor | 4 Berkeley Street, Super Kids, Norwalk, CT 06850 | 2009-01-27 |
| 1578716783 | Helen B. Mccue | Social Worker | 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 | 2008-10-31 |
| 1609900497 | James Schumacher | Physician Assistant | Maple Avenue, Norwalk, CT 06850 | 2007-03-15 |
| 1134270002 | Neelam Narula | Nurse Practitioner | 34 Maple St Ste J, Norwalk, CT 06850 | 2007-01-16 |
| 1669559951 | Patricia Jorquera | Pediatrics | 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 | 2006-11-01 |
| Find all providers in zip 06850 | ||||
| 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 |
|---|---|---|---|---|
| 1780218271 | Brenda Nava | Physician Assistant | 13531 Thistle Ave, Norwalk, CA 90650-3244 | 2020-02-24 |
| 1700377546 | Constantino Papadopoulos | Physician Assistant | 23 Dairy Farm Rd, Norwalk, CT 06851-6024 | 2018-05-29 |
| 1245783380 | Danielle Nicole Munday | Physician Assistant | 761 Main Ave Ste 102, Norwalk, CT 06851-1080 | 2016-07-25 |
| 1912321803 | David Irving Allyn | Physician Assistant | 3 Oakwood Ave, Unit A25, Norwalk, CT 06850-1339 | 2014-02-12 |
| 1396816732 | Mary-jane Cross | Physician Assistant | 40 Stevens St, Norwalk, CT 06851 | 2006-11-09 |
| 1356410013 | Monica Moore | Physician Assistant | 10 Glover Ave, Norwalk, CT 06850-1202 | 2006-11-07 |
| 1609966993 | Shantell S Wray | Physician Assistant | 350 Main Ave, C/o Dr. Appleby School Based Health Center At Briggs Hs, Norwalk, CT 06851-1510 | 2006-10-15 |
| 1265448294 | Glenn Michael De Guzman | Physician Assistant | 13330 Bloomfield Ave Ste 111, Norwalk, CA 90650-3264 | 2006-07-31 |
| 1326026428 | Todd D Hills | Physician Assistant | 280 Benedict Ave Ste B, Norwalk, OH 44857-2374 | 2006-01-09 |
| 1114914744 | Gloria Degenhardt | Physician Assistant | 200 W North St., Norwalk, WI 54648-0225 | 2005-09-29 |
| Find all providers in NORWALK | ||||
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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.