MS. SHANNON VICTORIA JOHNSON (NPI# 1255843033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255843033 |
| Entity Type | Individual |
| Full Name | MS. SHANNON VICTORIA JOHNSON |
| Credential | WHNP |
| Practice Address |
210 Hospital Cir Choctaw MS 39350-6781 |
| Mailing Address |
193 Stewart Rd Carthage MS 39051-9600 |
| Practice Telephone | 6013894420 |
| Mailing Telephone | 9545996041 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
901996 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787579 | Shannon R Johnson | Physical Therapy Assistant | 2030 N 15th Rd, Streator, IL 61364-9754 | 2020-04-01 |
| 1225688146 | Shannon D Johnson | Counselor | 505 University Dr E Ste 501, College Station, TX 77840-1797 | 2019-09-12 |
| 1174184402 | Shannon Symone Johnson | Registered Nurse | 1120 Country View Ln Apt 11d, Toledo, OH 43615-8315 | 2019-06-26 |
| 1114435484 | Shannon Marie Johnson | Nurse Practitioner | 120 Horton Ln, Belvidere, TN 37306-2109 | 2018-01-19 |
| 1972859478 | Shannon Johnson | Counselor | 2502 Beech St Unit 6, Valparaiso, IN 46383-6214 | 2012-08-02 |
| 1295012508 | Shannon Christina Johnson | Physician Assistant | 13111 E. Briarwood Ave #15, Centennial, CO 80112 | 2011-11-15 |
| 1689815771 | Shannon Marie Johnson | Speech-Language Pathologist | 1567 Elmwood Ave, Apt6, Rochester, NY 14620-3616 | 2009-03-18 |
| 1801080619 | Shannon Marie Johnson | Nurse Practitioner | 7900 Highway 76, Pendleton, SC 29670-8876 | 2007-09-05 |
| 1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| Street Address |
210 HOSPITAL CIR |
| City | CHOCTAW |
| State | MS |
| Zip Code | 39350-6781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321354 | Ethel S Beasley | Internal Medicine | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2005-07-28 |
| 1265999247 | Kimberly Lynn Eldridge | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-26 |
| 1508322421 | Tiah Rae York | Registered Nurse | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-15 |
| 1194280883 | Karen Louise Miller | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-06 |
| 1669957833 | Annette Marie Lewis | Social Worker | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-10-03 |
| 1124507223 | Lindsey E Wilson | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1538648639 | Natalie A Byram | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1982183083 | Allison Boatner | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1780105239 | Anna Clare Saxon | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-07-05 |
| 1215462502 | Marjorie Britt | Pharmacist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120665 | Chelsea Lynne Mcgee Walley | Nurse Practitioner | 1880 Bakers Trl, Nesbit, MS 38651-6042 | 2020-06-29 |
| 1225675952 | Victoria Delores Brown | Nurse Practitioner | 5155 Keele St Apt 22d, Jackson, MS 39206-4331 | 2019-12-02 |
| 1497280770 | Jessica Wilder | Nurse Practitioner | 128 Cattail Ln, Ocean Springs, MS 39564-3863 | 2017-04-25 |
| 1609321702 | Ashley Floyd | Nurse Practitioner | 1203 Avenue B Ste 300, Ellisville, MS 39437-2080 | 2016-08-18 |
| 1033571054 | Debra Gail Gill | Nurse Practitioner | 4892 Briarton Dr, Southaven, MS 38672-9571 | 2016-03-29 |
| 1346652377 | Rachel Nichole Ford | Nurse Practitioner | 5963 I 55 N, Jackson, MS 39213-9722 | 2014-05-26 |
| 1831485895 | Anita Sharyl Clinton Donegan | Nurse Practitioner | 1012 Big Lane Dr, Brookhaven, MS 39601-2331 | 2011-06-28 |
| 1285861039 | Katherine Young | Nurse Practitioner | 1212 Northpark Ln Ne, Brookhaven, MS 39601 | 2009-06-19 |
| 1295936839 | Susan Turiano Crump | Nurse Practitioner | 111 Depot Dr # A, Madison, MS 39110-9395 | 2007-05-30 |
| 1760601967 | Kimberly Lynne Schlagel | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2007-04-25 |
| 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.