SHANNON WADE MYERS (NPI# 1982622601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982622601 |
| Entity Type | Individual |
| Full Name | SHANNON WADE MYERS |
| Credential | D.C. |
| Practice Address |
111 Broyles St Suite 6 Johnson City TN 37601-2532 |
| Mailing Address |
2101 Cherokee Rd 12 Johnson City TN 37604-3473 |
| Practice Telephone | 4236100005 |
| Practice Fax Number | 4236100009 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2000 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | GROUP NPI | 1407012495 | 01 |
| TN | INDIVIDUAL NPI | 1982622601 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 4091317 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831732304 | Shannon Lee Myers | Marriage & Family Therapist | 6528 Hamilton Blvd, Allentown, PA 18106-9184 | 2019-10-28 |
| 1184945339 | Shannon Nicole Myers | Pediatrics | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2010-06-22 |
| 1225273386 | Shannon Elizabeth Myers | Audiologist | 3432 Grim Ave, San Diego, CA 92104-4225 | 2008-12-03 |
| 1942797097 | Shannon Myers | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0001 | 2018-04-15 |
| 1801396569 | Shannon Myers | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2018-02-19 |
| 1487169249 | Shannon Lee Myers | Nurse Practitioner | 724 Pershing St, Ellwood City, PA 16117-1474 | 2017-12-02 |
| 1528418803 | Shannon Dee Myers | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2016-06-16 |
| 1881958288 | Shannon J. Myers | Family Medicine | 878 Lakeland Dr, Jackson, MS 39216-4644 | 2012-06-29 |
| 1063785145 | Shannon Lyn Myers | Physical Therapy Assistant | 5830 Meridian Rd, Gibsonia, PA 15044-9668 | 2012-02-20 |
| 1548440209 | Shannon D Myers | Marriage & Family Therapist | 711 D St, Suite 201, San Rafael, CA 94901-3707 | 2007-11-10 |
| Street Address |
111 BROYLES ST SUITE 6 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407012495 | Shannon Myers Dc LLC | Chiropractor | 111 Broyles St, Suite 6, Johnson City, TN 37601-2532 | 2008-07-30 |
| 1033383310 | Godsey Enterprises Inc | Technician/Technologist | 111 Broyles St, Johnson City, TN 37601-2532 | 2008-04-17 |
| 1952407827 | Kelly E Godsey II | Technician/Technologist | 111 Broyles St, Johnson City, TN 37601-2532 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385888 | Roger Gale Williams II | Chiropractor | 121 N Commerce St Ste 212, Johnson City, TN 37604-4712 | 2020-10-28 |
| 1235632100 | Integral Chiropractic Co | Chiropractor | 3101 Browns Mill Rd Ste 16, Johnson City, TN 37604-4100 | 2018-03-16 |
| 1962913814 | Chiro-health, L.L.C. | Chiropractor | 512 E Unaka Ave, Johnson City, TN 37601-4033 | 2017-10-18 |
| 1013389469 | Advanced Care Chiropractic and Rehab | Chiropractor | 3043 Boones Creek Rd Ste 107, Johnson City, TN 37615-4959 | 2015-10-26 |
| 1467841999 | Jonathan Madill | Chiropractor | 1041 Hamilton Pl, Johnson City, TN 37604-7917 | 2015-01-21 |
| 1932523172 | Briddger Chatman | Chiropractor | 926 West Oakland Ave. Ste. 202, Johnson City, TN 37604 | 2014-02-07 |
| 1083041412 | April Anne Berg | Chiropractor | 1906 Knob Creek Rd, Suite 1, Johnson City, TN 37604-3097 | 2013-09-30 |
| 1457647455 | David John Sossamon | Chiropractor | 710 Montclair Dr, Johnson City, TN 37604-2423 | 2011-06-28 |
| 1184852295 | Community Chiropractic Clinic LLC | Chiropractor | 2 Worth Cir, Suite 3, Johnson City, TN 37601-4304 | 2009-06-26 |
| 1063614683 | Pridemore Family Chiropractic PC | Chiropractor | 514 E Watauga Ave, Johnson City, TN 37601-4039 | 2007-06-05 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.