SHANNON DIANE CAMPBELL (NPI# 1225376395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225376395 |
Entity Type | Individual |
Full Name | SHANNON DIANE CAMPBELL |
Practice Address |
4609 W Banff Ln Glendale AZ 85306-3607 |
Practice Telephone | 6029206893 |
Mailing Telephone | 6029206893 |
Enumeration Date | 2013-01-24 |
Last Update Date | 2013-01-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA7996 | AZ | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609414200 | Shannon Kohlenberg Campbell | Social Worker | 5562 Mesa Verde Ct, Fort Worth, TX 76137-4438 | 2019-12-13 |
1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
1780050419 | Shannon Campbell | Registered Nurse | 700 Charlestown Rd, Springfield, VT 05156-4400 | 2015-08-17 |
1538507439 | Shannon Campbell | Counselor | 4274 Nottingham Way, Hamilton, NJ 08690-3825 | 2013-06-13 |
1407013550 | Shannon Marie Campbell | Dentist | 31450 W Seven Mile Road, Suite 109, Livonia, MI 48152-1375 | 2008-05-16 |
1801855440 | Shannon D Campbell | Specialist/Technologist | 1114 9th Ave, Lewiston, ID 83501-2659 | 2006-03-22 |
1538783733 | Shannon Campbell | Speech-Language Pathologist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-06-03 |
1568081248 | Shannon Campbell | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-13 |
1740826494 | Shannon P Campbell | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2019-11-18 | |
1598318016 | Shannon Campbell | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2019-07-23 |
Street Address |
4609 W BANFF LN |
City | GLENDALE |
State | AZ |
Zip Code | 85306-3607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
Find all providers in zip 85306 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477179976 | Patricia Enloe | Specialist/Technologist | 5210 W Desert Hills Dr, Glendale, AZ 85304-1984 | 2020-06-19 |
1467073312 | Sarah Alicia Wasson | Specialist/Technologist | 4309 W Griswold Rd, Glendale, AZ 85302-6614 | 2020-05-01 |
1295368025 | Adam Stanley | Specialist/Technologist | 8769 West Northview Avenue, Glendale, AZ 85305 | 2020-02-20 |
1871132100 | Emerson Blake Smith | Specialist/Technologist | 5809 W Vogel Ave, Glendale, AZ 85302-3123 | 2020-01-03 |
1952952996 | Shannon Zozaya | Specialist/Technologist | 6823 W Angela Dr, Glendale, AZ 85308-8433 | 2019-09-20 |
1962050138 | Karina Navarrete | Specialist/Technologist | 7418 W. Fleetwood Ln, Glendale, AZ 85303 | 2019-08-29 |
1316599277 | Codye Anne Boutin | Specialist/Technologist | 5117 W Pershing Ave, Glendale, AZ 85304-1318 | 2019-07-11 |
1275197048 | Carly Cottrell | Specialist/Technologist | 6234 W Behrend Dr Apt 1112, Glendale, AZ 85308-6909 | 2019-04-27 |
1104480482 | Cheryl Renie Snyder-roy | Specialist/Technologist | 4441 W Tonto Rd, Glendale, AZ 85308-7329 | 2019-04-23 |
1881152411 | Danielle Gandolfo | Specialist/Technologist | 11232 N 65th Ave, Glendale, AZ 85304-3640 | 2019-03-02 |
Find all providers in GLENDALE |
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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.