MRS. SHANNON R PEREZ (NPI# 1790034924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790034924 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON R PEREZ |
| Credential | IBCLC, RLC |
| Practice Address |
4534 S 1st St Louisville KY 40214-1906 |
| Practice Telephone | 5023805403 |
| Mailing Telephone | 5023805403 |
| Mailing Fax Number | 5023805403 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232631 | Shannon A Perez | Social Worker | 70 High Point Rd, Southport, NC 28461-9757 | 2020-07-09 |
| 1750934774 | Shannon C Perez | Speech-Language Pathologist | 232 Woodlawn Dr, Trafford, PA 15085-1233 | 2019-07-18 |
| 1770011694 | Shannon Perez | Social Worker | 462 1st Ave Fl 2, New York, NY 10016-9196 | 2017-05-24 |
| 1437663770 | Shannon Perez | Nurse Practitioner | 401 Young Ave Ste 180, Moorestown, NJ 08057-3139 | 2017-11-22 |
| 1740657030 | Shannon Renee Perez | Social Worker | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2015-08-21 |
| 1407260615 | Shannon Perez | Counselor | 4585 Sw 185th Ave, Aloha, OR 97007-1557 | 2014-06-16 |
| Street Address |
4534 S 1ST ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40214-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058659 | Abcdentistry | Clinic/Center | 5316 S 3rd St, Louisville, KY 40214 | 2018-03-28 |
| 1538591300 | Byrne Dental,psc | Dentist | 4739 So. Third Street, Louisville, KY 40214 | 2013-08-05 |
| 1205110400 | Michael Wayne Probst | Pharmacist | 5201 South Third Street, Louisville, KY 40214 | 2011-10-06 |
| 1871876920 | Cindy Eillene Ohlmann | Pharmacist | 5400 New Cut Road, Louisville, KY 40214 | 2011-09-26 |
| 1801129960 | Deborah Suzanne Slusher | Speech-Language Pathologist | 109 Seneca Trail, Louisville, KY 40214 | 2009-09-08 |
| 1255592267 | Mitisha Nichole Martin | Dentist | 5316 S. 3rd Street, Louisville, KY 40214 | 2008-06-23 |
| 1588862361 | Kentucky Eye Surgery Associates Psc | Ophthalmology | 4940 Hazelwood Avenue, Louisville, KY 40214 | 2007-07-03 |
| 1558565739 | James Latroy Burks | Counselor | 927 Southview Rd, Louisville, KY 40214 | 2007-06-12 |
| 1770792475 | Kimberly Lynn Wheatley | Physical Therapist | 250 Kenwood Hill Road, Louisville, KY 40214 | 2007-05-21 |
| 1821219601 | Courtney Marie Smith | Speech-Language Pathologist | 3222 Rolling Oak Blvd, Louisville, KS 40214 | 2007-05-01 |
| Find all providers in zip 40214 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
| 1639444771 | Mary Ashley Benz | Lactation Consultant, Non-RN | 11512 Robert Rd, Louisville, KY 40223-2523 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376376 | Emily Kaiser | Lactation Consultant, Non-RN | 212 Bill Ferguson Rd, Bowling Green, KY 42101-6539 | 2020-11-08 |
| 1255956728 | Samantha Steen | Lactation Consultant, Non-RN | 417 Park Row, Bowling Green, KY 42101-2242 | 2020-06-10 |
| 1235603283 | Holly Foster Phillips | Lactation Consultant, Non-RN | 4785 Ridge Creek Rd, Owensboro, KY 42303-7816 | 2019-01-13 |
| 1851775332 | Ashley M. Stewart | Lactation Consultant, Non-RN | 7065 Marrowbone Creek Rd, Elkhorn City, KY 41522-7525 | 2015-07-15 |
| 1881291144 | Lactation Care With Elizabeth LLC | Lactation Consultant, Non-RN | 110 Dennis Dr, Lexington, KY 40503-2917 | 2020-10-08 |
| 1124625405 | Ashlee C Brown | Lactation Consultant, Non-RN | 110 Dennis Dr, Lexington, KY 40503-2917 | 2020-10-08 |
| City | LOUISVILLE |
| Zip Code | 40214 |
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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.