SHANNON BLAINE (NPI# 1134672868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134672868 |
| Entity Type | Individual |
| Full Name | SHANNON BLAINE |
| Practice Address |
103 Parkhurst Street Pontiac MI 48342 |
| Practice Telephone | 2484255053 |
| Mailing Telephone | 2484255053 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
103 PARKHURST STREET |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| 1508027475 | Community Programs Inc | Skilled Nursing Facility | 540 Boyd St, Pontiac, MI 48342 | 2008-06-23 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821522756 | Beverly Edwards | Technician, Other | 820 Golf Dr, 302, Pontiac, MI 48341-2368 | 2017-04-18 |
| 1194276394 | Brent Sykes | Technician, Other | 1172 Eckman Ave, Pontiac, MI 48342-1933 | 2016-10-23 |
| 1184173932 | Roshaunda Lance | Technician, Other | 453 Linda Vista Dr, Pontiac, MI 48342-1745 | 2016-09-21 |
| 1538617550 | Ravon Johnson | Technician, Other | 287 S Marshall St, Pontiac, MI 48342-3247 | 2016-09-19 |
| 1437605763 | Renee V Shorter | Technician, Other | 275 Ferry Ave, Pontiac, MI 48341-3215 | 2016-08-28 |
| 1245683663 | Helen Marie Coats | Technician, Other | 464 Nevada Ave, Pontiac, MI 48341-2549 | 2016-07-20 |
| 1801249230 | Kathryn Heifferon | Technician, Other | 122 Seville Blvd, Pontiac, MI 48340-1016 | 2016-07-20 |
| 1649623117 | Serita Arrowood | Technician, Other | 882 Kenilworth Ave, Pontiac, MI 48340-3104 | 2016-07-19 |
| 1407208598 | Stephanie Warren | Technician, Other | 1136 Herrington Ln, Pontiac, MI 48342-1835 | 2016-07-12 |
| 1518331875 | Brianna Dinkins | Technician, Other | 42 E Iroquois Rd, Pontiac, MI 48341-2015 | 2015-11-23 |
| Find all providers in PONTIAC | ||||
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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.