DR. SHANNON REED BLUMHARDT (NPI# 1205908282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205908282 |
| Entity Type | Individual |
| Full Name | DR. SHANNON REED BLUMHARDT |
| Credential | D.C. |
| Practice Address |
2721 X Ray Dr Gastonia NC 28054-7491 |
| Mailing Address |
200 E 2nd Ave Ste 106 Gastonia NC 28052-4358 |
| Practice Telephone | 7048742255 |
| Practice Fax Number | 7048107417 |
| Mailing Telephone | 7048742255 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4842 | NC | Chiropractic Providers |
| Street Address |
2721 X RAY DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619057452 | Christina Zanakis-reid | Pediatrics | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2006-10-16 |
| 1972111946 | Jennifer Riebesell | Social Worker | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2020-07-16 |
| 1477079283 | Gaston Family Health Services Inc | Pharmacy | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2017-08-15 |
| 1225408461 | Jackson Davis Mullins | Nurse Practitioner | 2721 X Ray Dr, Gastonia, NC 28054 | 2015-09-30 |
| 1306284351 | Vaidehi Mahesh Trivedi | Internal Medicine | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2013-06-12 |
| 1518204742 | Tammy Virginia Shingleton | Counselor | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2013-01-08 |
| 1831490903 | Kelly Lachelle Smith | Social Worker | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2010-11-05 |
| 1770891210 | David A Robison | Nurse Practitioner | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2010-09-17 |
| 1396051884 | Elite Community Health, LLC | Case Management | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447651 | Mary E Shafer Dc Pllc | Chiropractor | 216 S New Hope Rd, Gastonia, NC 28054-4805 | 2019-09-24 |
| 1073705463 | Bobby Roland Hager | Chiropractor | 2499 E Ozark Ave, Gastonia, NC 28054-1421 | 2007-08-09 |
| 1689742561 | Ronald Bruce Werran | Chiropractor | 616 W Garrison Blvd, Gastonia, NC 28052-4046 | 2006-12-01 |
| 1437223559 | Steven B Roach | Chiropractor | 1846 East Franklin Blvd, Gastonia, NC 28054 | 2006-11-20 |
| 1134222508 | Harrell Dean Hardin | Chiropractor | 1548 Union Rd, Suite D, Gastonia, NC 28054 | 2006-09-07 |
| 1972613750 | Timothy S Bannon | Chiropractor | 411 E Franklin Blvd, Gastonia, NC 28054-7152 | 2006-08-30 |
| 1508878240 | Bradley Chiropractic Clinic Pa | Chiropractor | 1324 E Garrison Blvd, Gastonia, NC 28054 | 2006-08-12 |
| 1720096050 | J. Christopher Taulman | Chiropractor | 3302 S New Hope Rd, Suite 100 F, Gastonia, NC 28056-8317 | 2006-08-03 |
| 1437176278 | Robinson Chiropractic Center | Chiropractor | 251a Wilmont Dr, Gastonia, NC 28054-4048 | 2006-07-17 |
| 1699703900 | Richard Dean Thomas | Chiropractor | 1002 S New Hope Rd, Gastonia, NC 28054-3801 | 2006-06-28 |
| Find all providers in GASTONIA | ||||
Please comment or provide details below to improve the information on DR. SHANNON REED BLUMHARDT.
| 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.