RYAN SHANNON (NPI# 1194322271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194322271 |
| Entity Type | Individual |
| Full Name | RYAN SHANNON |
| Credential | NP |
| Practice Address |
1722 Pine St Ste 700 Montgomery AL 36106-1125 |
| Mailing Address |
Po Box 242848 Montgomery AL 36124-2848 |
| Practice Telephone | 3348341300 |
| Practice Fax Number | 3348348347 |
| Mailing Telephone | 3342709914 |
| Mailing Fax Number | 3342703195 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-159336 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-159336 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-159336 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901797 | Ryan P Shannon | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2019-06-18 |
| 1891263406 | Ryan Michael Shannon | Physician Assistant | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2018-11-13 |
| 1457687071 | Ryan Patrick Shannon | Counselor | 1180 Beacon St, Brookline, MA 02446-3885 | 2009-11-02 |
| 1619098712 | Ryan Taylor Shannon | Anesthesiology | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2007-04-03 |
| Street Address |
1722 PINE ST STE 700 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992957575 | Paige C Harris | Clinical Nurse Specialist | 1722 Pine St Ste 700, Montgomery, AL 36106-1125 | 2008-10-15 |
| 1982213898 | Elizabeth Alison Ellis | Nurse Practitioner | 1722 Pine St Ste 700, Montgomery, AL 36106-1125 | 2020-07-27 |
| 1811339252 | Audrey Noel Morgan | Registered Nurse | 1722 Pine St Ste 700, Montgomery, AL 36106-1125 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730586405 | Mary Conn | Nurse Practitioner | 10547 Montgomery Rd Ste 400, Montgomery, OH 45242-4418 | 2014-11-25 |
| 1760954523 | Kristian Michelle Williams | Nurse Practitioner | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2018-12-18 |
| 1396276127 | Jawaneka P Ellerson | Nurse Practitioner | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2017-03-23 |
| 1194275321 | Ashley Powell | Nurse Practitioner | 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 | 2016-10-12 |
| 1972948032 | Kristen T Osborne | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394195 | Farzana Gilani | Nurse Practitioner | 4577 Mcgill Ter, Hoover, AL 35226-6382 | 2020-07-31 |
| 1235762980 | Zachary David Quintana | Nurse Practitioner | 101 Sivley Rd Sw Ste 300, Huntsville, AL 35801-4421 | 2020-02-20 |
| 1780239160 | Amy Black | Nurse Practitioner | 10420 Reva Rd N, Chunchula, AL 36521-3330 | 2019-08-02 |
| 1437613031 | Lynsey Smith | Nurse Practitioner | 121 N 20th St Ste 2, Opelika, AL 36801-5409 | 2019-01-28 |
| 1780169037 | Kathleen Kimbrough Shields | Nurse Practitioner | 1201 11th Ave S Ste 305, Birmingham, AL 35205-3422 | 2018-10-02 |
| 1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
| 1326555780 | Brittany Michelle Bowen | Nurse Practitioner | 52 Medical Park Dr E Ste 307, Birmingham, AL 35235-3432 | 2018-01-08 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| 1427571389 | Sonya K Hicks | Nurse Practitioner | 1705 Main Ave Sw Ste B, Cullman, AL 35055-7207 | 2017-07-24 |
| 1326580515 | Kams Transportation and Mobile Health Services | Nurse Practitioner | 102 Pearle Cove Dr, Huntsville, AL 35806-4243 | 2016-11-06 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on RYAN SHANNON.
| 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.