JENNIFER KATHLEEN SHANNON


Address: 2945 Willowrow Ave Ne, Canton, OH 44705-3612
Phone: 3304383090

JENNIFER KATHLEEN SHANNON (NPI# 1851864144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851864144
Entity Type Individual
Full Name JENNIFER KATHLEEN SHANNON
Practice Address 2945 Willowrow Ave Ne
Canton
OH 44705-3612
Mailing Address 5982 Rhodes Rd
Kent
OH 44240-8100
Practice Telephone 3304383090
Mailing Telephone 3306731347
Mailing Fax Number 3306783677
Enumeration Date 2019-01-09
Last Update Date 2019-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

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Office Location

Street Address 2945 WILLOWROW AVE NE
City CANTON
State OH
Zip Code 44705-3612

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609395623 Catherine Dana Tavares Registered Nurse 5321 Johnnycake Ridge Ne, Canton, OH 44705 2017-09-11
1790168706 Vicki T Perrin Home Health Aide 3033 Endrow Ave Ne, Canton, OH 44705 2015-07-08
1679066542 Atlantic Dme LLC Durable Medical Equipment & Medical Supplies 3501 Lesh St Ne, Canton, OH 44705 2018-06-14
1982262432 Ciara A Davenport Nurse's Aide 809 Gibbs Ave Ne, Canton, OH 44705-1009 2019-05-30
1952790594 Ivory Hollamon Home Health Aide 1209 Lippert Rd Ne, Canton, OH 44705-1019 2015-01-20
1003842196 Lana May Butcher Home Health Aide 1219 Lippert Rd Ne, Canton, OH 44705-1019 2006-06-23
1124628896 Asia Annette Everett Home Health Aide 918 Rowland Ave Ne, Canton, OH 44705-1064 2020-10-30
1396196267 Pennie Lynn Mathewson Student in an Organized Health Care Education/Training Program 1309 Lawrence Rd Ne, Canton, OH 44705-1102 2016-06-22
1043861982 Ravon L. Wise Home Health Aide 1130 12th St Ne, Canton, OH 44705-1120 2019-09-23
1518412360 Angels In Mission In Home Supportive Care 1043 Rowland Ave Ne, Canton, OH 44705-1166 2016-08-22
Find all providers in zip 44705

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093350068 Marc A Walker Peer Specialist 3311 12th St Nw, Canton, OH 44708-3909 2019-11-13
1114569506 Nicole Herndon Peer Specialist 1114 Gonder Ave Se, Canton, OH 44707-3300 2019-10-17
1588138390 Angela Rhoad Peer Specialist Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 2019-01-15
1861962599 Darnella L Jenkins Peer Specialist 2306 Crown Pl Nw, Canton, OH 44708-4420 2018-11-26
1396229027 Michelle Lois Stackhouse Peer Specialist 5736 East Blvd Nw, Canton, OH 44718-1655 2018-09-19
1922520865 Marc Slotnick Peer Specialist 43825 Michigan Ave., Canton, MI 48188 2017-07-12
1427656354 Aaron Schreffler Peer Specialist 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2020-10-13
1659985158 Tracy Hart Peer Specialist 80 State Highway 310 Ste 1, Canton, NY 13617-1493 2020-09-02
1790309581 Jamaine Thomas Atkins Sr. Peer Specialist 50430 School House Rd, Canton, MI 48187-5910 2020-06-08
1093338154 Elvis Mcgrath Peer Specialist 1920 Schneider St Ne, Canton, OH 44721-3352 2020-05-24
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 44705

Improve Information

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Dataset Information

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.

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