DR. SHANNON WALRAVEN (NPI# 1376935866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376935866 |
| Entity Type | Individual |
| Full Name | DR. SHANNON WALRAVEN |
| Practice Address |
4810 Rossville Blvd Chattanooga TN 37407-3524 |
| Practice Telephone | 4238676390 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 37874 | TN | Pharmacy Service Providers |
| Street Address |
4810 ROSSVILLE BLVD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37407-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396750329 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4810 Rossville Blvd, Chattanooga, TN 37407-3524 | 2006-07-29 |
| 1184906869 | Julius A. Piazza IIi | Pharmacist | 4810 Rossville Blvd, Chattanooga, TN 37407-3524 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348796 | Loving Hands Caregiver | Adult Companion | 2715 13th Ave, Chattanooga, TN 37407-1213 | 2018-12-29 |
| 1902274129 | Frank Adam Kilgore | Social Worker | 3000 3rd Ave Ste 300, Chattanooga, TN 37407-1422 | 2015-09-03 |
| 1972771707 | Univita of Tennessee, Inc. | Durable Medical Equipment & Medical Supplies | 2900 Dodds Ave, Chattanooga, TN 37407-1628 | 2008-02-14 |
| 1720557382 | Stephaine Turner | Home Health | 3511 Rossville Blvd, Chattanooga, TN 37407-2466 | 2018-11-13 |
| 1578022117 | Resilient Spread Development | Intermediate Care Facility, Mental Illness | 4315 13th Ave, Chattanooga, TN 37407-3104 | 2019-03-13 |
| 1639360332 | Page Family Practice, Inc. | Clinic/Center | 4802 14th Ave, Chattanooga, TN 37407-3414 | 2007-08-07 |
| 1306949003 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5011 State St # A, Chattanooga, TN 37407-3519 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538319 | The Pelvic Method Pllc | Physical Therapist | 852 Mccallie Ave, Chattanooga, TN 37403-2600 | 2020-11-04 |
| 1407457765 | Kaleisha Danyelle Dunbar | Private Vehicle | 8143 Iris Rd, Chattanooga, TN 37421-4276 | 2020-11-03 |
| 1265032924 | Staccato LLC | In Home Supportive Care | 122 Lee Parkway Dr Ste 402, Chattanooga, TN 37421-0813 | 2020-10-30 |
| 1316547474 | United Medical Lab LLC | Clinical Medical Laboratory | 3201 Easton Ave, Chattanooga, TN 37415-4715 | 2020-10-28 |
| 1659971067 | Mary E Kaylor | Registered Nurse | 9446 E Brainerd Rd, Chattanooga, TN 37421-3404 | 2020-10-27 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1679172787 | Shelli M Hancock | Registered Nurse | 8928 Fuller Rd, Chattanooga, TN 37421-4437 | 2020-10-20 |
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1992303457 | Winnie Warun Kiri | Nurse Practitioner | 4715 Bonny Oaks Dr Apt 308, Chattanooga, TN 37416-3825 | 2020-10-15 |
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| Find all providers in CHATTANOOGA | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653835 | Paige Mayer | Pharmacist | 4542 Tn- 58, Chattanooga, TN 37416 | 2018-09-24 |
| 1003311424 | Joshua Cody Sanders | Pharmacist | 3828 Redding Rd, Chattanooga, TN 37415-4123 | 2018-03-27 |
| 1225537145 | Jennifer Rice | Pharmacist | 7806 Laurelton Dr, Chattanooga, TN 37421-1953 | 2018-02-06 |
| 1649792821 | Jacy Tucker Copeland | Pharmacist | 420 W Bell Ave Ste P, Chattanooga, TN 37405-3404 | 2017-07-10 |
| 1649703679 | Matthew Parker | Pharmacist | 5959 Shallowford Rd Ste 107, Chattanooga, TN 37421-2251 | 2017-04-06 |
| 1093247876 | Ashley Ellis | Pharmacist | 3617 Cherokee Ave, Chattanooga, TN 37412-1105 | 2017-03-30 |
| 1932658630 | Lindsey Narramore | Pharmacist | 3901 Hixson Pike, Suite 181, Chattanooga, TN 37415-3567 | 2016-09-23 |
| 1275991820 | Asha Thaliath | Pharmacist | 6851 Shallowford Road, Hamilton Discount Pharmacy, Chattanooga, TN 37421 | 2016-02-10 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1902296064 | Kelly Hawkins | Pharmacist | 3801 Tennessee Ave, Chattanooga, TN 37409 | 2015-01-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37407 |
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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.