JACQUELINE SHANNON (NPI# 1194137356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194137356 |
| Entity Type | Individual |
| Full Name | JACQUELINE SHANNON |
| Other Name | JACQUELINE THERRIEN |
| Practice Address |
20 Industrial Park Drive Nashua NH 03062 |
| Practice Telephone | 6038824500 |
| Practice Fax Number | 6038824545 |
| Mailing Telephone | 6038824500 |
| Mailing Fax Number | 6038824545 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
21110 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651696 | Jacqueline A Shannon | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2018-12-17 |
| 1750727483 | Jacqueline R-k Shannon | Marriage & Family Therapist | 995 Gateway Center Way, Suite 300, San Diego, CA 92102-4500 | 2013-05-21 |
| 1699961763 | Jacqueline K Shannon | Nurse Practitioner | 9200 W Wisconsin Ave, Transplant Surgery, Milwaukee, WI 53226-3522 | 2007-09-21 |
| Street Address |
20 INDUSTRIAL PARK DRIVE |
| City | NASHUA |
| State | NH |
| Zip Code | 03062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102998 | Dcy Consulting Pllc | Psychologist | 11 Brackenwood Drive, Nashua, NH 03062 | 2020-04-09 |
| 1477108140 | Timothy Michael Salisbury | Massage Therapist | 505 W. Hollis St., Unit 206 A, 505 W Hollis St Ste 206 A, Nashua, NH 03062 | 2019-08-08 |
| 1548822620 | Northridge Surgical Suites, LLC | Clinic/Center | 41 Innovative Way, Nashua, NH 03062 | 2019-06-28 |
| 1205207172 | Heather E Bigos | Physician Assistant | 17 Riverside St., Suite 105, Nashua, NH 03062 | 2015-10-16 |
| 1801220280 | Foundation Medical Partners Inc. | Durable Medical Equipment & Medical Supplies | 112 Spit Brook Rd., Nashua, NH 03062 | 2013-08-21 |
| 1588903124 | Tessa Katherine Macgillivary | Counselor | 76 Northeastern Blvd Unit 28, Nashua, NH 03062 | 2013-02-01 |
| 1578821302 | Active Physical Therapy | Physical Therapist | 681 W Hollis St, Nashua, NH 03062 | 2012-04-30 |
| 1265799092 | Nashua Ambulatory Surgical Center LLC | Clinic/Center | 15 Riverside Drive, Nashua, NH 03062 | 2012-04-18 |
| 1942437835 | Rebecca Murphy | Counselor | 589 West Hollis Street, Suite 203, Nashua, NH 03062 | 2009-06-17 |
| 1487812780 | Michelle Ryder | Physician Assistant | 17 Riverside St Ste 105, Nashua, NH 03062 | 2008-05-23 |
| Find all providers in zip 03062 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447543046 | Katherine Camoscio | Physical Therapist | 20 Industrial Park Dr, Nashua, NH 03062-3178 | 2011-05-16 |
| 1891877502 | Sandra K Yaffe | Physical Therapist | 144 Canal Street, Nashua, NH 03064 | 2006-10-20 |
| 1073973699 | Meredith Frazier | Physical Therapist | 20 Industrial Park Dr, Nashua, NH 03062-3178 | 2016-02-24 |
| 1124342134 | Bonnie L Eckerman | Physical Therapist | 144 Canal St, Nashua, NH 03064-2886 | 2010-03-19 |
| 1992875504 | Karen M Barrows | Physical Therapist | 144 Canal Street, Nashua, NH 03064 | 2006-11-09 |
| 1255401857 | Deborah Anne Nervik | Physical Therapist | 144 Canal Street, Nashua, NH 03064 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1508047721 | Laurie English | Physical Therapist | 11 Redwood Rd, Salem, NH 03079-3489 | 2007-11-15 |
| 1083829030 | Greenwood Therapy Services | Physical Therapist | 18 Ansel St, Salem, NH 03079-4550 | 2007-05-12 |
| 1740402346 | Kidz Play Pediatric Therapy | Physical Therapist | 1f Commons Drive, Suite 38, Londonderry, NH 03053 | 2007-05-03 |
| 1174682868 | Jane A Swain | Physical Therapist | 194 Paine Rd, Westmoreland, NH 03467-4212 | 2006-12-08 |
| 1184795460 | Kendra A Garrow | Physical Therapist | 497 Hooksett Rd, Suite 227, Manchester, NH 03104-2632 | 2006-11-10 |
| 1710064514 | Barbara B Dematteo | Physical Therapist | 70 Island St, Keene, NH 03431-3528 | 2006-11-01 |
| 1801807276 | Elizabeth Favreau Wuebbolt | Physical Therapist | 40 S. River Road, Uni, Merrimack Valley Physical Therapy, Bedford, NH 03110 | 2006-08-11 |
| 1083611719 | Tammy E Ciminesi | Physical Therapist | 40 Pembroke Rd, Community Bridges, Concord, NH 03301-5641 | 2005-07-07 |
| 1659988020 | Jessica Henderson | Physical Therapist | 134 Hall St Unit 1, Concord, NH 03301-3470 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.