SHANNON HUIZDOS (NPI# 1770020943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770020943 |
| Entity Type | Individual |
| Full Name | SHANNON HUIZDOS |
| Practice Address |
27850 Gratiot Ave Roseville MI 48066-4803 |
| Practice Telephone | 5867725876 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7501008367 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
27850 GRATIOT AVE |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568479350 | Jessica De Marie Lupo | Chiropractor | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2006-08-02 |
| 1720452899 | Adam Louis Palleschi | Chiropractor | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2015-11-30 |
| 1154798981 | Ramona Pleva | Chiropractor | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2015-08-27 |
| 1720472301 | Wayne Park | Mechanotherapist | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2015-03-23 |
| 1366788010 | Renee Hofmann | Student in an Organized Health Care Education/Training Program | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2012-12-28 |
| 1194061838 | Jennifer Ann Vatalaro | Student in an Organized Health Care Education/Training Program | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2012-12-28 |
| 1780920496 | Gretchen A Ouweleen | Student in an Organized Health Care Education/Training Program | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2012-12-27 |
| 1205172038 | Kenton Kyle Maki | Student in an Organized Health Care Education/Training Program | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2012-12-26 |
| 1568609246 | Shahid Ali Khan | Chiropractor | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2009-01-16 |
| 1750428058 | Lupo Chiropractic Life Center, P.C. | Massage Therapist | 27850 Gratiot Ave, Roseville, MI 48066-4803 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838747 | Quinn Morse | Massage Therapist | 1058 Shenencock Way, Roseville, CA 95747-7512 | 2020-10-15 |
| 1093322190 | Steven Gonzalez Rodriguez | Massage Therapist | 701 Gibson Dr Apt 1612, Roseville, CA 95678-5744 | 2020-09-23 |
| 1164036885 | Emanuel Buggs | Massage Therapist | 30585 Sandhurst Dr Apt 205, Roseville, MI 48066-7724 | 2020-09-01 |
| 1326695495 | Jordan Wan | Massage Therapist | 1141 Smith Lane Ste #3, Ste #3, Roseville, OH 95661-4123 | 2019-08-22 |
| 1124593538 | Dean Samuel Pastor | Massage Therapist | 6001 Barnside Pl, Roseville, CA 95747-9616 | 2018-10-11 |
| 1184103392 | Jennifer Youssef | Massage Therapist | 18001 Biehl St, Roseville, MI 48066-2573 | 2018-08-08 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1215479613 | Melonie Jackson | Massage Therapist | 26640 Belanger St, Roseville, MI 48066-3185 | 2016-11-16 |
| 1164883765 | Jeffrey Korolchuk Jr. | Massage Therapist | 2204 Lexington Ave N Apt 10, Roseville, MN 55113-4355 | 2016-03-10 |
| 1982073193 | Sherri Macmillan | Massage Therapist | 508 Gibson Drive, Ste 290, Roseville, CA 95678 | 2015-09-17 |
| Find all providers in ROSEVILLE | ||||
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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.