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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033480827 | Jennifer Shannon | Speech-Language Pathologist | 996 Eastwind Ave, Toms River, NJ 08753-7927 | 2012-01-25 |
| 1083928782 | Jennifer Shannon | Dentist | 4400 Deer Path Rd Ste 101, Harrisburg, PA 17110-3908 | 2010-08-05 |
| 1013982768 | Jennifer Joy Shannon | Counselor | 613 College Ave, Santa Rosa, CA 95404-4104 | 2006-02-17 |
| 1396216776 | Jennifer Mary Shannon | Registered Nurse | 400 Doansburg Rd, Brewster, NY 10509-5902 | 2018-12-11 |
| 1891139960 | Jennifer Shannon | Occupational Therapist | 9200 Franklin Square Dr, Baltimore, MD 21237-4458 | 2013-04-19 |
| 1154688307 | Jennifer Ann Shannon | Pharmacist | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2012-04-12 |
| 1356362842 | Jennifer Cheng Shannon | Psychiatry & Neurology | 2100 Caton Way Sw, Olympia, WA 98502-1105 | 2006-07-21 |
| 1528050812 | Jennifer Louise Shannon | Counselor | 30 Conwell St, #1, Provincetown, MA 02657-1548 | 2005-08-22 |
| Street Address |
2945 WILLOWROW AVE NE |
| City | CANTON |
| State | OH |
| Zip Code | 44705-3612 |
| 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 Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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] |
| 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 | ||||
Please comment or provide details below to improve the information on JENNIFER KATHLEEN SHANNON.
| 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.