BETH SHANNON (NPI# 1013374446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013374446 |
| Entity Type | Individual |
| Full Name | BETH SHANNON |
| Credential | L.M.T |
| Practice Address |
214 Ponce De Leon Ave Ne Ste 1 Atlanta GA 30308-1910 |
| Practice Telephone | 4048060029 |
| Mailing Telephone | 4048060029 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT009847 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 173C00000X | Reflexologist | MT009847 | GA | Other Service Providers |
| Street Address |
214 PONCE DE LEON AVE NE STE 1 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307731 | Phyllicia Maddox | Homeopath | 214 Ponce De Leon Ave Ne, Suite 1, Atlanta, GA 30308-1910 | 2015-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183527 | Alexander Jones | Massage Therapist | 626 Dekalb Ave Se Apt 1445, Atlanta, GA 30312-5409 | 2020-10-30 |
| 1134728124 | Quaniessa Rochelle Jenkins | Massage Therapist | 449 Oak Dr # 2, Atlanta, GA 30354-1228 | 2020-10-20 |
| 1891302089 | Jimmy Little | Massage Therapist | 1253 Caroline St Ne Ste 109, Atlanta, GA 30307-2759 | 2020-09-30 |
| 1588271423 | Queenetta Leflore Jr. | Massage Therapist | 1475 Sand Bay Dr Sw Apt 3007, Atlanta, GA 30331-8989 | 2020-09-24 |
| 1316552441 | Faith Duckworth | Massage Therapist | 115 Pine St Nw Unit 205, Atlanta, GA 30313-4534 | 2020-09-15 |
| 1013521939 | Chaun Walker | Massage Therapist | 219 E Simon Ter Nw, Atlanta, GA 30318-7435 | 2020-09-08 |
| 1780298646 | Kim Desue | Massage Therapist | 220 Sandy Springs Cir, Atlanta, GA 30328-3816 | 2020-09-08 |
| 1730793761 | Scott L Norton | Massage Therapist | 1079 Marietta Blvd Nw Unit 7, Atlanta, GA 30318-4982 | 2020-09-08 |
| 1609480607 | Alonda Lovell | Massage Therapist | 5103 Alexander Cir Ne, Atlanta, GA 30326-1278 | 2020-09-07 |
| 1851905293 | Alexa Rae Catledge | Massage Therapist | 1178 Piedmont Ave Ne Apt C11, Atlanta, GA 30309-3753 | 2020-09-02 |
| Find all providers in ATLANTA | ||||
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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.