SHANNON LEE DIGIOVANNI (NPI# 1700492774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700492774 |
| Entity Type | Individual |
| Full Name | SHANNON LEE DIGIOVANNI |
| Practice Address |
13707 Fairhill Ave Edmond OK 73013-1946 |
| Practice Telephone | 4056074041 |
| Mailing Telephone | 4056074041 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730508110 | Shannon Aprea Digiovanni | Student in an Organized Health Care Education/Training Program | 43 W Meadow Estates Dr, Townsend, MA 01474-1053 | 2014-04-14 |
| Street Address |
13707 FAIRHILL AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597156 | Jeremy Joseph Atkinson | Counselor | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-10-27 |
| 1619577145 | Mathew David Riddle | Clinic/Center | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-10-26 |
| 1821696758 | Jodi Nunn | Clinic/Center | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-10-13 |
| 1336755313 | Kendra Bailey | Clinic/Center | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-09-16 |
| 1730793647 | Rebecca Ann Welden | Clinic/Center | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-09-08 |
| 1770193302 | Erika Miller | Peer Specialist | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-08-07 |
| 1588274112 | Ziomara Rivera | Peer Specialist | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-08-07 |
| 1396362000 | Steven Shawn Fowler | Case Manager/Care Coordinator | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-06-29 |
| 1235753336 | Ashley Dawn Swain | Case Manager/Care Coordinator | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-06-04 |
| 1770106189 | Jennifer Mirossay | Counselor | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194202143 | Cutshall Counseling, LLC | Clinic/Center | 417 W 18th St Ste 103, Edmond, OK 73013-3692 | 2018-07-23 |
| 1689092850 | Cassandra Seward | Clinic/Center | 17408 Durbin Park Rd, Edmond, OK 73012-6912 | 2014-04-03 |
| 1497179428 | Recovery Achievements LLC | Clinic/Center | 400 S Broadway # 15, Edmond, OK 73034-3848 | 2014-02-11 |
| 1407103146 | Hearts of Hope LLC | Clinic/Center | 400 S Broadway Ste 9, Edmond, OK 73034-3848 | 2012-08-13 |
| 1326310186 | Jami Mcgee | Clinic/Center | 1729 Louis Scott St, Edmond, OK 73003-3859 | 2012-02-08 |
| 1982984027 | Robbie Lowery | Clinic/Center | 1812 Nw 145th St, Edmond, OK 73013-1745 | 2011-08-21 |
| 1619577145 | Mathew David Riddle | Clinic/Center | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-10-26 |
| 1821696758 | Jodi Nunn | Clinic/Center | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-10-13 |
| 1336755313 | Kendra Bailey | Clinic/Center | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-09-16 |
| 1730793647 | Rebecca Ann Welden | Clinic/Center | 13707 Fairhill Ave, Edmond, OK 73013-1946 | 2020-09-08 |
| Find all providers in EDMOND | ||||
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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.