SHANNON WATSON (NPI# 1689045429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689045429 |
| Entity Type | Individual |
| Full Name | SHANNON WATSON |
| Practice Address |
1061 Bayview St Holly Hill SC 29059-8583 |
| Practice Telephone | 8039710689 |
| Mailing Telephone | 8039710689 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555129 | Shannon Watson | Social Worker | 613 National Ave, Terrytown, LA 70056-2907 | 2020-10-14 |
| 1558916304 | Shannon Watson | Social Worker | 5000 S 5th Ave Unit 2south, Hines, IL 60141-3030 | 2019-08-08 |
| 1205342722 | Shannon S Watson | Speech-Language Pathologist | 165 Dodds Ct, Burlington, VT 05408-2648 | 2017-12-20 |
| 1497030761 | Shannon O Watson | Occupational Therapist | 3450 W Kent Dr, Chandler, AZ 85226-1426 | 2011-10-18 |
| 1639343585 | Shannon Gerald Watson | Chiropractor | 18103 Coastline Dr. #5, Malibu, CA 90265-5744 | 2008-04-22 |
| 1609499391 | Shannon Jewel Watson | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2020-05-28 |
| 1013481654 | Shannon Watson | Behavior Technician | 21000 S Frankfort Square Rd, Frankfort, IL 60423-9385 | 2019-01-16 |
| 1336658798 | Shannon Watson | Home Health | 609 S 2nd St, Smithfield, NC 27577-4343 | 2017-09-28 |
| 1720539141 | Shannon Watson | Licensed Vocational Nurse | 101 Gough St, San Francisco, CA 94102-5903 | 2016-10-20 |
| 1265744817 | Shannon Watson | Pharmacist | 10900d Research Blvd # D, Austin, TX 78759-5720 | 2010-07-12 |
| Street Address |
1061 BAYVIEW ST |
| City | HOLLY HILL |
| State | SC |
| Zip Code | 29059-8583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376918979 | Community Organization for Rights and Empowerment | Voluntary or Charitable | 1250 Unity Road, Holly Hill, SC 29059 | 2015-12-08 |
| 1518351139 | Holly Street Drugs, LLC | Pharmacy | 904 Holly Street, Holly Hill, SC 29059 | 2015-03-20 |
| 1710310735 | Troy Blakely Lamb | Pharmacist | 8530 Old State Rd., Holly Hill, SC 29059 | 2013-08-13 |
| 1861742231 | Michael James Myers | Pharmacist | 8523 Old State Road, Holly Hill, SC 29059 | 2012-09-13 |
| 1215208822 | Robert Rodelsperger Dmd Pa | Dentist | 912 Holly St, Holly Hill, SC 29059 | 2012-01-13 |
| 1053624262 | Stephanie R Jamison | Counselor | 421 Gardener Boulevard, Holly Hill, SC 29059 | 2010-07-16 |
| 1619158771 | Adams Optical Dba Holly Hill Eye Clinic | Optometrist | 190 Rental Dr., Holly Hill, SC 29059 | 2007-11-16 |
| 1780736710 | Total Comfort Adult Daycare | Home Health | 1706 Camden Rd, Holly Hill, SC 29059 | 2007-01-18 |
| 1255490314 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8523 Old State Rd, Holly Hill, SC 29059 | 2006-12-06 |
| 1881797900 | Chucks Pharmacy Inc | Pharmacy | 904 Holly St, Holly Hill, SC 29059 | 2006-09-06 |
| Find all providers in zip 29059 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474238 | Mamie Duck | Psychologist | 60 Club Forest Ct, Sumter, SC 29154-6247 | 2019-09-02 |
| 1467994343 | Sherrel Aiken Brown | Psychologist | 8202 Pleasant Ridge Dr, North Charleston, SC 29420 | 2016-11-09 |
| 1770700759 | Coastal Pediatric Associates, P.a. | Psychologist | 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2007-04-19 |
| 1083110019 | Coastal Pediatric Associates, P.a. | Psychologist | 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2018-03-30 |
| 1255735445 | Dara Ann Williams | Psychologist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2014-10-16 |
| City | HOLLY HILL |
| Zip Code | 29059 |
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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.