SHONTA BRENSON (NPI# 1063956084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063956084 |
| Entity Type | Individual |
| Full Name | SHONTA BRENSON |
| Practice Address |
1323 Nw Hidden Ridge Cir Blue Springs MO 64015-2719 |
| Practice Telephone | 8168123092 |
| Mailing Telephone | 8168123092 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
246RP1900X | MO | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1323 NW HIDDEN RIDGE CIR |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386181964 | On The Go Labs LLC | Technician, Pathology | 1323 Nw Hidden Ridge Cir, Blue Springs, MO 64015-2719 | 2017-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386181964 | On The Go Labs LLC | Technician, Pathology | 1323 Nw Hidden Ridge Cir, Blue Springs, MO 64015-2719 | 2017-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558980698 | Abbigayle Kathryn Mcdougal-benjamin | Technician, Pathology | 670 Katy Dr, Boonville, MO 65233-2886 | 2020-04-09 |
| 1821620782 | Lavita Green | Technician, Pathology | 547 Grand Blvd, Kansas City, MO 64106-1202 | 2020-02-09 |
| 1396375689 | Jamilya Crittenden | Technician, Pathology | 2252 Ne Town Centre Blvd Apt 1701, Lees Summit, MO 64064-2531 | 2020-01-25 |
| 1508374422 | Jeff Hahnen | Technician, Pathology | 11915 Dogwood Rd, Carthage, MO 64836-3284 | 2018-01-12 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1457888133 | Florence Allen | Technician, Pathology | 2305 N Waterford Dr, Florissant, MO 63033-2345 | 2017-05-12 |
| 1871952853 | Michael Pittman | Technician, Pathology | 101 N Range Line Rd # 304, Joplin, MO 64801-4118 | 2016-02-18 |
| 1023499795 | Marcia Lynette James | Technician, Pathology | 4911 Michigan Ave, Saint Louis, MO 63111-1719 | 2015-06-17 |
| 1205074614 | Amber Jones | Technician, Pathology | 1403 Court St Apt A, Columbia, MO 65201-6499 | 2009-01-23 |
| 1093909087 | Beth Ann Dalto | Technician, Pathology | 11906 Manchester Rd, Saint Louis, MO 63131-4503 | 2007-09-01 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
Please comment or provide details below to improve the information on SHONTA BRENSON.
| 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.