SHANNON HEATHER WEAVER (NPI# 1427338581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427338581 |
| Entity Type | Individual |
| Full Name | SHANNON HEATHER WEAVER |
| Credential | CADC |
| Practice Address |
4715 Sullivan Slough Rd Burlington IA 52601-9013 |
| Practice Telephone | 3197530700 |
| Practice Fax Number | 3197547885 |
| Mailing Telephone | 3197530700 |
| Mailing Fax Number | 3197547885 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11025 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740767359 | Shannon Weaver | Midwife | 2671 Hwy 70, Manasquan, NJ 08736 | 2018-07-26 |
| 1871102103 | Shannon Marie Weaver | Nurse Practitioner | 1 Tiger Dr, Marshall, TX 75670-1412 | 2020-07-22 |
| 1457903791 | Shannon Weaver | Physician Assistant | 7111 S Virginia St, Reno, NV 89511-1115 | 2019-07-16 |
| Street Address |
4715 SULLIVAN SLOUGH RD |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601-9013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336429422 | Linda May | Counselor | 4715 Sullivan Slough Rd, Burlington, IA 52601-9013 | 2011-08-22 |
| 1336574417 | Erin Christie Corman | Counselor | 4715 Sullivan Slough Rd, Burlington, IA 52601-9013 | 2013-09-09 |
| 1386921328 | Elizabeth Marie Slater | Counselor | 4715 Sullivan Slough Rd, Burlington, IA 52601-9013 | 2011-11-04 |
| 1902188394 | Chad Martin | Counselor | 4715 Sullivan Slough Rd, Burlington, IA 52601-9013 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1285257899 | Kimberly T Scott | Counselor | 1870 Dixon Swimming Pool Rd, Burlington, NC 27217-8587 | 2020-05-19 |
| 1700412624 | Amanda K Parnell | Counselor | 260 W Davis St Ste D, Burlington, NC 27215-3707 | 2020-03-23 |
| 1770120594 | Shawn Rhodes | Counselor | 1000-t High St, Burlington, NJ 08016-4633 | 2019-12-01 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1518517226 | Harold Mcnerney | Counselor | 355 10th St, Burlington, CO 80807-1820 | 2019-09-14 |
| 1083127294 | Janice E Lee | Counselor | 331 Hale St, Burlington, NC 27217-3114 | 2017-11-09 |
| 1679092027 | Emilee Elizabeth Mason | Counselor | 614 Peterson Rd # 200, Burlington, WA 98233-2606 | 2017-09-18 |
| 1366960395 | Sarah Victoria Steenbeek | Counselor | 71 Harrison Ave, Burlington, VT 05401-5240 | 2017-08-30 |
| 1376066423 | Jonathan Ayers | Counselor | 150 Cherry St, Burlington, VT 05401-3818 | 2017-07-20 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
Please comment or provide details below to improve the information on SHANNON HEATHER WEAVER.
| 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.