KATHERINE SHANNON (NPI# 1922630789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922630789 |
| Entity Type | Individual |
| Full Name | KATHERINE SHANNON |
| Other Name | KATHERINE FLYNN |
| Practice Address |
3292 N Evergreen Dr Ne Grand Rapids MI 49525-9746 |
| Practice Telephone | 6163658920 |
| Practice Fax Number | 6163658971 |
| Mailing Telephone | 6163658920 |
| Mailing Fax Number | 6163658971 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301017825 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629522198 | Katherine Shannon | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2016-08-12 |
| 1932545001 | Katherine Virginia Shannon | Obstetrics & Gynecology | 1461 N Gardner St, Scottsburg, IN 47170-7751 | 2013-05-16 |
| 1831120054 | Katherine Kerrigan Shannon | Nurse Practitioner | 225 E Chicago Ave # 69, Lurie Children's Hospital of Chicago, Chicago, IL 60611-2991 | 2006-07-05 |
| Street Address |
3292 N EVERGREEN DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992943757 | Carrie Zinser | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525 | 2009-01-30 |
| 1144854290 | Stefany Tucker | Behavioral Analyst | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-02-27 |
| 1598397341 | Kelly Cramer | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-02-10 |
| 1144851452 | Sean Crowell | Occupational Therapist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2020-01-27 |
| 1295297240 | Brianna Kuhatschek | Behavioral Analyst | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2019-04-01 |
| 1043786023 | Renee Orr | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-10-17 |
| 1346725850 | Bailey Palladino | Occupational Therapist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-10-01 |
| 1447738877 | Draycen Decator | Clinical Neuropsychologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-07-28 |
| 1932605557 | Sarah Wright | Social Worker | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-04-03 |
| 1902318165 | Nicole Taylor White | Counselor | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2017-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
| 1730745852 | Kls Counseling LLC | Psychologist | 688 Cascade West Pkwy Se, Grand Rapids, MI 49546-2171 | 2019-05-14 |
| 1609347285 | Luwillis Gibson | Psychologist | 1014 Dunham St Se, Grand Rapids, MI 49506-2659 | 2018-12-07 |
| 1598257966 | Austin Knight | Psychologist | 1010 Watson St Sw, Grand Rapids, MI 49504-6148 | 2018-06-01 |
| 1609203694 | Lynn Jackson | Psychologist | 456 Plymouth Ave Ne Ste B, Grand Rapids, MI 49505 | 2013-10-04 |
| 1184996969 | Joseph Edward Budnick | Psychologist | 1150 Brownwood Ave Nw, Grand Rapids, MI 49504-3653 | 2012-02-08 |
| 1265660963 | Gary Michael Cole | Psychologist | 1115 Ball Ave Ne Bldg C, Grand Rapids, MI 49505-5904 | 2009-07-01 |
| 1073763710 | Kylene Lynn Schipper | Psychologist | 3300 36th St, Grand Rapids, MI 49518-0007 | 2008-09-30 |
| 1295986933 | Jeffrey Alan Bootzin | Psychologist | 330 Eastern Ave Se, Grand Rapids, MI 49503-4737 | 2008-09-30 |
| 1770730434 | Kurt Thomas Ellis | Psychologist | 4920 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1010 | 2008-08-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on KATHERINE 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.