DR. SHANNON ST AMANT (NPI# 1275849929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275849929 |
| Entity Type | Individual |
| Full Name | DR. SHANNON ST AMANT |
| Credential | D.C. |
| Practice Address |
4705 S Clyde Morris Blvd Port Orange FL 32129-4103 |
| Practice Telephone | 3867632768 |
| Practice Fax Number | 3867632726 |
| Mailing Telephone | 3867632768 |
| Mailing Fax Number | 3867632726 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2011-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH10063 | FL | Chiropractic Providers |
| Street Address |
4705 S CLYDE MORRIS BLVD |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760459200 | Christopher M Varnum | Chiropractor | 4705 S Clyde Morris Blvd, Palmer Chiropractic Clinic, Port Orange, FL 32129-4103 | 2006-03-03 |
| 1619277506 | John Wesley Humbert | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2010-10-26 |
| 1710204219 | Matthew Dale Richardson | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2010-04-23 |
| 1457677635 | Misty Dawn Lagasse | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2010-04-13 |
| 1013232875 | Carl Francesco Stephens | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2010-04-05 |
| 1881920221 | Je'ne Nycole Jordahl | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2009-10-20 |
| 1205033925 | Jessie Miller | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2007-06-27 |
| 1477759447 | Diva Soares | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2007-06-26 |
| 1225158991 | Michael R Hochberg | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2007-03-29 |
| 1720104169 | Craig Scott Mencl | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| 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 |
|---|---|---|---|---|
| 1558911818 | Space Coast Spine LLC. | Chiropractor | 1402 Dunlawton Ave Ste 2b, Port Orange, FL 32127-2917 | 2019-09-18 |
| 1114571163 | Nicole Troyer | Chiropractor | 4462 Tumbleweed Trl, Port Orange, FL 32127-4984 | 2019-07-29 |
| 1336603083 | Michael Sambursky | Chiropractor | 1402 Dunlawton Ave # 2b, Port Orange, FL 32127-2917 | 2019-01-28 |
| 1871069732 | Coastal City Chiropractic Center LLC | Chiropractor | 4550 Clyde Morris Blvd Ste D, Port Orange, FL 32129-4080 | 2018-10-18 |
| 1639654387 | Jennifer Chelsie Demaio | Chiropractor | 4550 Clyde Morris Blvd, Ste D, Port Orange, FL 32129-4080 | 2018-09-28 |
| 1134601602 | Kathleen Ann Rooney | Chiropractor | 813 Little Town Rd, Port Orange, FL 32127-9232 | 2018-08-31 |
| 1417463894 | Lowe Chiropractic and Wellness Center | Chiropractor | 3780 S Nova Rd Ste 6, Port Orange, FL 32129-4203 | 2017-12-20 |
| 1427563915 | Kristal Xiomara Perez | Chiropractor | 862 Stonybrook Cir, Port Orange, FL 32127-4211 | 2017-12-06 |
| 1912410838 | Nicolle J Schultze | Chiropractor | 3959 S Nova Rd Ste 9, Port Orange, FL 32127-4900 | 2017-11-14 |
| 1023544640 | Garrett Chiropractic LLC | Chiropractor | 1409 Royal Grove Ln, Port Orange, FL 32129-8998 | 2017-05-02 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
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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.