SHANNON SHEN (NPI# 1891394987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891394987 |
| Entity Type | Individual |
| Full Name | SHANNON SHEN |
| Practice Address |
190 Ryland St Apt 3422 San Jose CA 95110-2295 |
| Practice Telephone | 6263832533 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
190 RYLAND ST APT 3422 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-2295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1750992152 | Jolene Thu Tran | Student in an Organized Health Care Education/Training Program | 2811 Glauser Dr, San Jose, CA 95133-1410 | 2020-08-11 |
| 1588273270 | Kimberly Ngoc Nguyen | Student in an Organized Health Care Education/Training Program | 3094 Seafield Ct, San Jose, CA 95148-4044 | 2020-07-28 |
| 1699393884 | Nancy Tang | Student in an Organized Health Care Education/Training Program | 3130 Brightwood Ct, San Jose, CA 95148-2649 | 2020-07-14 |
| 1548884125 | Chelsea Lorraine Barnes | Student in an Organized Health Care Education/Training Program | 1045 Lincoln Ct, San Jose, CA 95125-2638 | 2020-05-30 |
| 1891318705 | Magdalena Cachu-enciso | Student in an Organized Health Care Education/Training Program | 1624 June Ave, San Jose, CA 95122-2211 | 2020-05-26 |
| 1104448729 | Veerali Juthani | Student in an Organized Health Care Education/Training Program | 3920 Braeburn Ct, San Jose, CA 95130-1206 | 2020-05-18 |
| 1811518020 | Thomas Vo | Student in an Organized Health Care Education/Training Program | 3205 San Rivas Dr, San Jose, CA 95148-2037 | 2020-04-28 |
| 1831727130 | Brent Carmona | Student in an Organized Health Care Education/Training Program | 3791 Heppner Ln, San Jose, CA 95136-1506 | 2020-03-31 |
| 1265069009 | Jessica Raye Carr | Student in an Organized Health Care Education/Training Program | 6620 Via Del Oro Fl 2, San Jose, CA 95119-1392 | 2020-03-23 |
| Find all providers in SAN JOSE | ||||
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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.