TAKESHA MONIQUE SHANNON (NPI# 1740474816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740474816 |
| Entity Type | Individual |
| Full Name | TAKESHA MONIQUE SHANNON |
| Credential | LPC |
| Practice Address |
700 Energy Center Blvd Suite 407 Northport AL 35473-5827 |
| Practice Telephone | 2057640850 |
| Practice Fax Number | 2053314082 |
| Mailing Telephone | 2057640850 |
| Mailing Fax Number | 2053314082 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2009-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2536 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD OF ALABAMA | 515-99846 | 01 |
| Street Address |
700 ENERGY CENTER BLVD SUITE 407 |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017160 | Erin Guffey | Counselor | 12750 Mill Creek Dr, Northport, AL 35473-7882 | 2020-09-14 |
| 1639704133 | Moyacca Jones | Counselor | 650 Energy Center Blvd Ste 102, Northport, AL 35473-5802 | 2020-03-05 |
| 1073175428 | Lisa Danielle Hamada | Counselor | 15 Vista Dr, Northport, NY 11768-1923 | 2019-07-06 |
| 1619485323 | Amalia Rose Sirica | Counselor | 188 Woodbine Ave, Northport, NY 11768-2819 | 2018-01-16 |
| 1578820114 | Crystal Deanna Redd | Counselor | 2611 Lily Way, Northport, AL 35473-1775 | 2012-04-20 |
| 1740569003 | Meredith Grace Morgan | Counselor | 1295 Atlantic Hwy, Northport, ME 04849-3600 | 2011-08-04 |
| 1720297617 | Dora Lupo | Counselor | 9 Blydenburgh Ct, Northport, NY 11768-2858 | 2007-05-21 |
| 1215152384 | Kim H Rodriguez | Counselor | 21 Turnip Hl, Northport, NY 11768-1650 | 2007-04-16 |
| 1871622696 | John B. Westervelt | Counselor | 40 Mar Kan Dr, Northport, NY 11768-1858 | 2007-03-05 |
| 1225116494 | Keith Parham Jr. | Counselor | 5690 Watermelon Rd Ste 310, Northport, AL 35473-5009 | 2006-11-02 |
| Find all providers in NORTHPORT | ||||
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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.