SHANNON MOONEY (NPI# 1295388080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295388080 |
| Entity Type | Individual |
| Full Name | SHANNON MOONEY |
| Other Name | SHANNON GRAY |
| Credential | BEHAVIOR SPECIALIST |
| Practice Address |
376 5th St Idaho Falls ID 83401-4762 |
| Practice Telephone | 2084031559 |
| Mailing Telephone | 2084031559 |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487809083 | Shannon M Mooney | Physician Assistant | 13 Loder St, Wellsville, NY 14895 | 2008-11-24 |
| 1154890796 | Shannon Quinn Mooney | Counselor | 8 Lowell Rd, West Hartford, CT 06119-1817 | 2018-11-13 |
| 1508397290 | Shannon Marie Mooney | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2017-03-23 |
| 1457428609 | Shannon Leigh Mooney | Pediatrics | 1001 Little Oak Way, Round Rock, TX 78681-5516 | 2006-11-30 |
| 1356423024 | Shannon Margaret Mooney | Dietitian, Registered | 295 Varnum Ave, Suite 204, Lowell, MA 01854-2134 | 2006-10-20 |
| Street Address |
376 5TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-4762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431572 | Bright Futures Children Services | Clinic/Center | 3910 S Yellowstone Hwy, Idaho Falls, ID 83402-4342 | 2019-11-16 |
| 1548471196 | Innovative Health Care Concepts, Inc | Clinic/Center | 267 Gladstone St, Idaho Falls, ID 83401-2511 | 2007-05-25 |
| 1598975658 | Innovative Health Care Concepts, Inc | Clinic/Center | 1545 S Boulevard, Idaho Falls, ID 83404-5926 | 2007-05-23 |
| 1639380280 | Innovative Health Care Concepts, Inc | Clinic/Center | 115 E 16th St, Idaho Falls, ID 83404-5919 | 2007-05-25 |
| 1457562001 | Innovative Health Care Concepts, Inc | Clinic/Center | 115 E 16th St, Idaho Falls, ID 83404-5919 | 2007-05-25 |
| 1366653917 | Innovative Health Care Concepts, Inc | Clinic/Center | 1545 S Boulevard, Idaho Falls, ID 83404-5926 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396907861 | All Developmental Disability Services | Clinic/Center | 1350 S Vista Ave, Boise, ID 83705-2567 | 2008-06-26 |
| 1154589802 | Excellence In Everyone, LLC | Clinic/Center | 101 N Bridge St, Saint Anthony, ID 83445-5005 | 2008-05-29 |
| 1689885238 | Aspen Center Rehabilitation and Counseling LLC | Clinic/Center | 140 N. 1st E., Driggs, ID 83442 | 2007-05-25 |
| 1972724623 | Community Partnerships of Idaho, Inc. | Clinic/Center | 9 Wall St, Nampa, ID 83651-3932 | 2007-05-01 |
| 1518188234 | Community Partnerships of Idaho, Inc. | Clinic/Center | 1201 Falls Ave E Ste 34, Twin Falls, ID 83301-3464 | 2007-05-01 |
| 1558986075 | Lotus Early Learning | Clinic/Center | 110 S Jackson St, Moscow, ID 83843-2038 | 2020-06-10 |
| 1902397227 | Inspired By You, LLC | Clinic/Center | 411 N 15th St, Coeur D Alene, ID 83814-5476 | 2018-05-22 |
| 1417474859 | New Beginnings Counseling and Support Services | Clinic/Center | 1002 Idaho St, Lewiston, ID 83501-1938 | 2017-08-25 |
| 1467979153 | A To Z Counseling, LLC | Clinic/Center | 1275 Riverside Ave, Orofino, ID 83544-6025 | 2017-08-24 |
| 1053734251 | Sequel Alliance Family Services, LLC | Clinic/Center | 1200 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814-2660 | 2014-01-24 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
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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.