SHANNON RAE TAYLOR (NPI# 1952882227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952882227 |
| Entity Type | Individual |
| Full Name | SHANNON RAE TAYLOR |
| Credential | APN |
| Practice Address |
550 Carothers Ln Russellville AR 72802-8231 |
| Practice Telephone | 4797477913 |
| Mailing Telephone | 4797477913 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A005875 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A005875 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366981540 | Shannon C Taylor | Occupational Therapist | 75136 Ravenwood Drive, Yulee, FL 32097 | 2017-02-21 |
| 1346690914 | Shannon Taylor | Case Manager/Care Coordinator | 1778 N Gregg Ave Apt 1, Fayetteville, AR 72703-2471 | 2016-06-15 |
| 1477927317 | Shannon Taylor | Occupational Therapist | 10337 Emerald Rock Dr, Oakton, VA 22124-2705 | 2015-11-16 |
| 1285031419 | Shannon Taylor | Counselor | 4006 Gettysburg Rd, Camp Hill, PA 17011-6707 | 2014-12-03 |
| 1609201011 | Shannon Taylor | Contractor | 5323 D St Se, Washington, DC 20019-6128 | 2013-09-05 |
| 1558619742 | Shannon Lea Taylor | Social Worker | 40 Main St Bldg 13, Biddeford, ME 04005-5178 | 2012-08-21 |
| 1750646832 | Shannon Marie Taylor | Dentist | 34 Brunswick St, Byhalia, MS 38611-7000 | 2012-07-05 |
| 1811153109 | Shannon Elizebethann Taylor | Clinical Neuropsychologist | 9555 Lebanon Rd., Suite 902, Frisco, TX 75035 | 2008-08-06 |
| 1972723492 | Shannon M Taylor | Speech-Language Pathologist | 965 West Rd, Mountain Home, AR 72653-4544 | 2007-04-26 |
| 1023072881 | Shannon Leigh Taylor | Occupational Therapist | 9601 I-630 Exit 7, Little Rock, AR 72205-7202 | 2006-04-17 |
| Street Address |
550 CAROTHERS LN |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72802-8231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1992034763 | Central Arkansas Surgical Center, LLC | Clinic/Center | 151 East Aspen Ln, Russellville, AR 72802 | 2009-12-08 |
| 1134302854 | Twin Rivers Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 1400 S Knoxville Ave, Russellville, AR 72802 | 2007-12-17 |
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1609902295 | Debi C Day Damron Burns | Case Manager/Care Coordinator | 1402 East 16th St, Russellville, AR 72802 | 2007-02-26 |
| Find all providers in zip 72802 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1649731829 | Haley Shaleigh Knight | Nurse Practitioner | 15225 Highway 43 Ste I, Russellville, AL 35653-1969 | 2019-03-28 |
| 1427516418 | Hanna Helich Henderson | Nurse Practitioner | 1040 Beth Dr, Russellville, TN 37860-8985 | 2019-03-08 |
| 1669979530 | Robin Lenora Franke | Nurse Practitioner | 3127 W 2nd Ct Ste B, Russellville, AR 72801-4566 | 2018-04-09 |
| 1679024798 | Teresa Anne Distler | Nurse Practitioner | 12103 County Line Rd, Russellville, MO 65074-2814 | 2016-10-24 |
| 1487003364 | Robert Barnowsky | Nurse Practitioner | 101 James N Hovater Rd, Russellville, AL 35653-0626 | 2016-06-10 |
| 1457706012 | Sarah Baxley | Nurse Practitioner | 106 Weir Rd, Ste 4, Russellville, AR 72802-9445 | 2016-05-02 |
| 1720385545 | Robin Michelle Joslin | Nurse Practitioner | 1605 Coliseuam Drive Doc Bryan Building, Suite 119, Russellville, AR 72801 | 2011-02-14 |
| 1710116066 | Family Medical Clinic LLC | Nurse Practitioner | 1355 George Wallace Hwy, Russellville, AL 35654-3281 | 2009-07-08 |
| 1821245069 | Agalia Renea Baker | Nurse Practitioner | 350 Walleye Dr, Russellville, AR 72802-7282 | 2008-08-19 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
Please comment or provide details below to improve the information on SHANNON RAE TAYLOR.
| 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.