MS. TRISHA MAE SHANNON (NPI# 1417409426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417409426 |
| Entity Type | Individual |
| Full Name | MS. TRISHA MAE SHANNON |
| Credential | M.ED, LAT, ATC |
| Practice Address |
7777 S Lewis Ave Tulsa OK 74171-0003 |
| Practice Telephone | 9184946806 |
| Practice Fax Number | 9184957919 |
| Mailing Telephone | 9184946806 |
| Mailing Fax Number | 9184957919 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
885 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7777 S LEWIS AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74171-0003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003832874 | John Vincent Joslin | Specialist/Technologist | 7777 S Lewis Ave, Tulsa, OK 74171-7816 | 2006-07-14 |
| 1518590579 | Alexis Gann | Specialist/Technologist | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2020-02-18 |
| 1720611957 | Catherine Mitts | Emergency Medicine | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2020-02-17 |
| 1992274898 | Jessica Vandyk | Specialist/Technologist | 7777 S Lewis Ave, Tulsa, OK 74171-0001 | 2018-11-20 |
| 1619446747 | Trenton Michael Royse | Physical Medicine & Rehabilitation | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2018-11-19 |
| 1427583053 | Brian Rios | Specialist/Technologist | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2017-04-20 |
| 1457890915 | Candera Tamika Gilbert | Case Manager/Care Coordinator | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2017-02-16 |
| 1447609862 | Myles Wilcox | Specialist/Technologist | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2016-06-07 |
| 1952770505 | Darlesha Sellers | Counselor | 7777 S Lewis Ave, Tulsa, OK 74171 | 2015-09-24 |
| 1235527672 | Jasmine Marchele Forrest | Case Manager/Care Coordinator | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2015-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629507991 | Maureen Elizabeth Nduta | Student in an Organized Health Care Education/Training Program | Oru Cpo 71-2826 7777 S. Lewis Ave, Tulsa, OK 74171 | 2017-06-08 |
| 1750813267 | Daniel Addo | Student in an Organized Health Care Education/Training Program | Oral Roberts University 7777 S Lewis Ave, Oru Cpo 71-1456, Tulsa, OK 74171-0001 | 2017-04-03 |
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227110 | Mercedes Phegley | Specialist/Technologist | 2815 E 5th St Apt 1936, Tulsa, OK 74104-3122 | 2020-08-28 |
| 1689285363 | Meredith Galloway | Specialist/Technologist | 2806 E 8th St Apt 3022, Tulsa, OK 74104-7402 | 2020-08-14 |
| 1427681766 | Brianna Lee Brooks | Specialist/Technologist | 3014 E 8th St Apt 4313, Tulsa, OK 74104-7436 | 2020-02-14 |
| 1083245948 | Hana Young Clancy | Specialist/Technologist | 2626 S Trenton Ave, Tulsa, OK 74114-2728 | 2020-01-30 |
| 1770043275 | Kacee Schroeder | Specialist/Technologist | 1219 S Sandusky Ave, Tulsa, OK 74112-5215 | 2019-03-21 |
| 1780140293 | Lauren Runquist | Specialist/Technologist | 121 North Ave, Tulsa, OH 74101 | 2019-02-20 |
| 1588150312 | Campbell Ward Ernst | Specialist/Technologist | 3901 S Granite Ave, Tulsa, OK 74135-5557 | 2018-07-04 |
| 1154862969 | Kaelynn Justyne Lemke | Specialist/Technologist | 11920 E Apache St, Tulsa, OK 74116-1309 | 2017-03-13 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1588021174 | Peter Semrad | Specialist/Technologist | 3330 N Mingo Rd, Tulsa, OK 74116-1211 | 2016-01-27 |
| Find all providers in TULSA | ||||
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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.