SHANNON ROSE WOODS (NPI# 1487072864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487072864 |
| Entity Type | Individual |
| Full Name | SHANNON ROSE WOODS |
| Other Name | SHANNON ROSE LOPEZ |
| Credential | N.P. |
| Practice Address |
401 Southcrest Cir Suite 212 Southaven MS 38671-6726 |
| Mailing Address |
6025 Walnut Grove Rd Suite 508 Memphis TN 38120-2131 |
| Practice Telephone | 6623490488 |
| Practice Fax Number | 6613495974 |
| Mailing Telephone | 9017675864 |
| Mailing Fax Number | 9017676591 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
A810578 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1992181838 | Shannon Woods | Dentist | 2500 Ne Twin Knolls Dr Ste 250, Bend, OR 97701-4786 | 2015-08-03 |
| 1508134362 | Shannon M Woods | Speech-Language Pathologist | 2259 Cumming Rd, Augusta, GA 30904-6987 | 2011-12-08 |
| 1679192025 | Shannon Woods | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-04-15 |
| 1134691439 | Shannon Jasper Woods | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2018-12-26 |
| 1386119022 | Shannon Woods | Counselor | 1120 Randall Ct, Geneva, IL 60134-3911 | 2018-10-09 |
| 1841799269 | Shannon Aichele Woods | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2018-02-12 |
| 1336562792 | Shannon Woods | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2014-01-21 |
| 1710213806 | Shannon Woods | Social Worker | 2225 W Broadway, Louisville, KY 40211-1003 | 2009-10-23 |
| 1184814576 | Shannon Lee Woods | Family Medicine | 3555 S National Ave, Springfield, MO 65807-7310 | 2007-07-31 |
| Street Address |
401 SOUTHCREST CIR SUITE 212 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-6726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569935 | Sanjay Ratnakant | Internal Medicine | 401 Southcrest Cir, Ste 212, Southaven, MS 38671-6721 | 2005-06-21 |
| 1295240414 | Jenna Scruggs | Nurse Practitioner | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2017-12-11 |
| 1083071237 | Wanda Brown | Nurse Practitioner | 401 Southcrest Cir, Suite 105, Southaven, MS 38671-6726 | 2016-01-19 |
| 1225403579 | Jodie Orr | Physical Therapist | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2015-12-10 |
| 1669602603 | Rajeev Gupta | Internal Medicine | 401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 | 2009-07-24 |
| 1881850345 | Upasna Aron | Internal Medicine | 401 Southcrest Cir, Ste 201, Southaven, MS 38671-6726 | 2008-08-04 |
| 1093973836 | Urology Group PC | Urology | 401 Southcrest Cir, Suite 201, Southaven, MS 38671 | 2008-05-29 |
| 1679742944 | Adult Neurology Clinic Pllc | General Acute Care Hospital | 401 Southcrest Cir, Suite 210, Southaven, MS 38671-6726 | 2008-02-21 |
| 1255531885 | Foundation Internal Medicine, P.C. | Clinic/Center | 401 Southcrest Cir, Suite 207, Southaven, MS 38671-6726 | 2007-07-22 |
| 1942400882 | Ma Tessa Lolita Diaz Layugan | Specialist | 401 Southcrest Cir, #104, Southaven, MS 38671-6726 | 2007-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1316500887 | Hollie Waldron | Nurse Practitioner | 408 Council Cir Ste C, Tupelo, MS 38801-4949 | 2019-04-19 |
| 1063975621 | Sheila Ann Frederick | Nurse Practitioner | 65 Patton Cemetary Rd, Fulton, MS 38843-9353 | 2019-04-10 |
| 1992263685 | Nadine Theresa James | Nurse Practitioner | 1214 Velma St, Hattiesburg, MS 39402-2751 | 2019-03-12 |
| 1396202396 | Roxane Theresa Moncure | Nurse Practitioner | 919 Rutherford Dr, Jackson, MS 39206-2033 | 2019-02-26 |
| 1750889416 | Katherine Bolden | Nurse Practitioner | 1666 Highway 19 S, Meridian, MS 39301-8209 | 2018-01-29 |
| 1306350129 | Tamika M Broome | Nurse Practitioner | 350 W Woodrow Wilson Ave # 411, Jackson, MS 39213-7681 | 2017-12-01 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1134589930 | Rebecca L. Cauthen | Nurse Practitioner | 885 Liberty Rd Ste 300, Flowood, MS 39232-9006 | 2016-03-07 |
| 1114399284 | Kristie G Jenkins | Nurse Practitioner | 2908 S Lamar Blvd, Suite 100, Oxford, MS 38655-5354 | 2015-10-28 |
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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.