SHANNON ODOM (NPI# 1316431869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316431869 |
| Entity Type | Individual |
| Full Name | SHANNON ODOM |
| Practice Address |
Arlington Public Schools Child Find 2110 Washington Blvd Arlington VA 22204 |
| Practice Telephone | 7032282622 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
PPS-0603617 | VA | Behavioral Health & Social Service Providers |
| Street Address |
ARLINGTON PUBLIC SCHOOLS CHILD FIND 2110 WASHINGTON BLVD |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639714157 | Cielito Home Health Services, LLC | Registered Nurse | 3708 3rd. Street South, Arlington, VA 22204 | 2019-11-07 |
| 1275177438 | Annie Rachel Poole | Occupational Therapist | 2301 Columbia Pike, Suite 125, Arlington, VA 22204 | 2019-10-31 |
| 1609426436 | Daniela Patricia Jaldin | Home Health Aide | 3708 3rd St. South, Arlington, VA 22204 | 2019-09-13 |
| 1124581475 | Lisa Nemeth | Psychologist | 2110 Washington Bvld, Office of Student Services, Arlington, VA 22204 | 2019-04-12 |
| 1568946176 | Barcroft Dentistry | Dentist | 939 S. Wakefield St, Arlington, VA 22204 | 2018-09-19 |
| 1801301106 | Carla Janai Farley | Behavior Technician | 2726 N. Cleveland Street, Arlington, VA 22204 | 2017-12-08 |
| 1174064737 | Ezequiel Andrade Fuentes | Dentist | Calle Segunda #67, Ejido Mariano Matamoros, Tijuana, BAJA CALIFORNIA 22204 | 2017-03-15 |
| 1639583107 | Syeda Kutub | Optometrist | 1020 S Glebe Rd, Arlington, VA 22204 | 2014-06-12 |
| 1255769311 | Joyful Mind Counseling of Virginia | Home Health | 1804 B 9th St South, Arlington, VA 22204 | 2013-10-28 |
| 1588903520 | Lillian Erika Sobel | Social Worker | 2100 Washignton Blvd, Floor 4, Arlington, VA 22204 | 2013-02-12 |
| Find all providers in zip 22204 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124581475 | Lisa Nemeth | Psychologist | 2110 Washington Bvld, Office of Student Services, Arlington, VA 22204 | 2019-04-12 |
| 1346718228 | Takiya Nachelle Jackson | Psychologist | 2700 S Lang St, Arlington, VA 22206-3106 | 2018-11-08 |
| 1114411469 | Marjory Spencer Franklin | Psychologist | 855 N Edison St, Arlington, VA 22205-1209 | 2018-06-20 |
| 1437649142 | Yesecan Ege | Psychologist | 2110 Washington Blvd Fl 2, Arlington, VA 22204-5719 | 2018-05-17 |
| 1417385717 | Andrea Delaney | Psychologist | 901 N Nelson St, Apt. 812, Arlington, VA 22203-1937 | 2013-10-23 |
| 1225360274 | Richard Stephen Murphy | Psychologist | 28 Hayes St, Arlington, MA 02474-2315 | 2010-02-02 |
| 1679189864 | Amy Austin Nemeth | Psychologist | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2020-09-22 |
| 1043826225 | Stephanie Mcdaniel | Psychologist | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2020-09-22 |
| 1700492915 | Kelly Pontera | Psychologist | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2020-09-22 |
| 1992310452 | Amy Cannava | Psychologist | 1325 S Dinwiddie St, Arlington, VA 22206-1082 | 2020-09-11 |
| Find all providers in ARLINGTON | ||||
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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.