HEATHER SHAHAN (NPI# 1467618389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467618389 |
| Entity Type | Individual |
| Full Name | HEATHER SHAHAN |
| Credential | M.S. |
| Practice Address |
159 N Riverside Dr Fort Worth TX 76111-3911 |
| Practice Telephone | 8173384471 |
| Practice Fax Number | 8173381811 |
| Mailing Telephone | 8173384471 |
| Mailing Fax Number | 8173381811 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
62088 | TX | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 200933 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144467754 | Heather Lyn Shahan | Clinical Nurse Specialist | 5982 Rhodes Rd, Kent, OH 44240-4128 | 2009-01-20 |
| Street Address |
159 N RIVERSIDE DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76111-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063700961 | Lashonya Williams | Counselor | 159 N Riverside Dr, Fort Worth, TX 76111-3911 | 2011-07-13 |
| 1730408055 | Psy Family Services | Counselor | 159 N Riverside Dr, Fort Worth, TX 76111-3911 | 2010-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306330543 | True Rx LLC | Pharmacy | 4045 E Belknap St Ste 10, Haltom City, TX 76111 | 2018-06-20 |
| 1538656988 | Dc Dental Associates of Fort Worth Pllc | Dentist | 1114 North Beach Street, Fort Worth, TX 76111 | 2018-04-20 |
| 1417403262 | Shauna Woody | Specialist/Technologist | 1101 Yucca Ave, Fort Worth, TX 76111 | 2016-08-31 |
| 1285180018 | Eve Investments LLC | Non-emergency Medical Transport (VAN) | 3513 E Belknap St, Fort Worth, TX 76111 | 2016-08-31 |
| 1851773857 | Mini Apple Dental Enterprise Pllc | Dentist | 911 N Sylvania Ave, #150, Fort Worth, TX 76111 | 2015-06-25 |
| 1376953471 | Priya Vinothini Colluru | Dentist | 3913, Wheeler's Street, Fort Worth, TX 76111 | 2014-04-29 |
| 1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
| 1649507708 | Vicki Van Mai | Pharmacist | 3809 E. Belknap St., Fort Worth, TX 76111 | 2009-11-11 |
| 1295972990 | Elite Healthcare Fort Worth | Clinic/Center | 112 N. Beach St., Fort Worth, TX 76111 | 2009-01-16 |
| 1124234885 | Psychotherapy Services & Yokefellows | Counselor | 159 N. Riverside Dr, Fort Worth, TX 76111 | 2007-05-16 |
| Find all providers in zip 76111 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013043 | Shayla H Rumsey | Counselor | 1137f Burton Hill Rd, Fort Worth, TX 76114-4530 | 2020-11-05 |
| 1356942544 | Abigail Ibitoye | Counselor | 6300 Ridglea Pl Ste 425, Fort Worth, TX 76116-5704 | 2020-11-04 |
| 1932713385 | Brooke Nicole Powell | Counselor | 1804 Glenmore Ave, Fort Worth, TX 76102-1509 | 2020-09-03 |
| 1669085254 | Heather Marie Wolf | Counselor | 429 College Ave Apt 301, Fort Worth, TX 76104-2264 | 2020-08-25 |
| 1013529361 | Michelle Mcqueen | Counselor | 8548 S Hulen St, Fort Worth, TX 76123-2741 | 2020-08-18 |
| 1871102772 | Precious Victoria Robinson | Counselor | 929 E Pulaski St, Fort Worth, TX 76104-5139 | 2020-07-27 |
| 1861010258 | Rachel Brohammer | Counselor | 4005 Ohare Ct Apt 602, Fort Worth, TX 76155-2853 | 2020-07-11 |
| 1972128288 | Traci Cocetti | Counselor | 4516 Fletcher Ave, Fort Worth, TX 76107-6214 | 2020-06-11 |
| 1285259622 | Brittany Lynn Stroud | Counselor | 3200 Riverfront Dr Ste 108, Fort Worth, TX 76107-6560 | 2020-06-11 |
| 1912529330 | Kristen Ann Mcgowen-plaga | Counselor | 12729 Homestretch Dr, Fort Worth, TX 76244-4214 | 2020-05-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76111 |
Please comment or provide details below to improve the information on HEATHER SHAHAN.
| 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.