SHANNON GRADY (NPI# 1144707126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144707126 |
| Entity Type | Individual |
| Full Name | SHANNON GRADY |
| Practice Address |
1255 Kendall Rd San Luis Obispo CA 93401-8750 |
| Practice Telephone | 8057813535 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164618310 | Shannon Grady | Occupational Therapist | 462 1st Ave, New York, NY 10016-9196 | 2007-09-21 |
| Street Address |
1255 KENDALL RD |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-8750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336284124 | Irianna Lembo | Marriage & Family Therapist | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2007-02-20 |
| 1841890852 | Neal T Mohr | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-10-28 |
| 1689272155 | Cody W Mello | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-10-15 |
| 1164045118 | Martha Soledad Reck | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-26 |
| 1043833296 | Alyssa Perez | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-22 |
| 1588287833 | Samantha Brown | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-21 |
| 1063035384 | Marissa Monee Sanchez | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-20 |
| 1841813250 | Madison Debruin | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-05-19 |
| 1568083871 | Crystal Linn-castro | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-04-28 |
| 1881213809 | Julia Wagithi Muya | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1134615966 | Alyssa Carmina Schutzman | Counselor | 1255 Kendall Rd., San Luis Obispo, CA 93401-9340 | 2018-07-04 |
| 1245725803 | Sarah Minh Christman | Counselor | 540 South St Apt B, San Luis Obispo, CA 93401-5106 | 2018-06-26 |
| 1538668652 | Barton Bodrian | Counselor | 670 Hill St, San Luis Obispo, CA 93405-2373 | 2018-02-04 |
| 1164941738 | Bridget Schinnerer | Counselor | 381 Pismo St, San Luis Obispo, CA 93401-3828 | 2017-09-14 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1134587454 | Taylor Barnett | Counselor | 668 Johnson Ave, San Luis Obispo, CA 93401-2408 | 2016-02-01 |
| 1699131623 | Daniel Keller | Counselor | 785 High St, San Luis Obispo, CA 93401-5235 | 2016-01-06 |
| 1700241874 | Linda Hainline | Counselor | 3000 Augusta St, #129, San Luis Obispo, CA 93401-5859 | 2015-12-16 |
| 1942693858 | Amber Kae Scangarello | Counselor | 125 Kendall Rd, San Luis Obispo, CA 93401 | 2015-03-17 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on SHANNON GRADY.
| 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.