MRS. SHANNON LEANN BANUELOS (NPI# 1558406165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558406165 |
Entity Type | Individual |
Full Name | MRS. SHANNON LEANN BANUELOS |
Credential | MAED COUNSELING |
Practice Address |
8045 E Portobello Ave Mesa AZ 85212-1690 |
Mailing Address |
140 S Gilbert Rd Gilbert AZ 85296-1016 |
Practice Telephone | 4805071404 |
Mailing Telephone | 4804973300 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
Street Address |
8045 E PORTOBELLO AVE |
City | MESA |
State | AZ |
Zip Code | 85212-1690 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679645253 | Janis Rayann Dawn | Speech-Language Pathologist | 8045 E Portobello Ave, Mesa, AZ 85212-1690 | 2006-11-15 |
1245563188 | Cynthia Susan Miller | Speech-Language Pathologist | 8045 E Portobello Ave, Mesa, AZ 85212-1690 | 2009-09-10 |
1164697744 | Jane G Xavier | Registered Nurse | 8045 E Portobello Ave, Mesa, AZ 85212-1690 | 2008-04-24 |
1861547820 | Diane Gail Brennan | Psychologist | 8045 E Portobello Ave, Mesa, AZ 85212-1690 | 2007-01-23 |
1760530414 | Donna J Sheely | Registered Nurse | 8045 E Portobello Ave, Mesa, AZ 85212-1690 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
Find all providers in zip 85212 |
Taxonomy Code | 101YS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750703682 | Amber Pedersen | Counselor | 1312 E Hale St, Mesa, AZ 85203-3818 | 2014-01-12 |
1255588075 | Ruth Schmidt | Counselor | 504 W 2nd Pl, Mesa, AZ 85201-6411 | 2008-08-22 |
1023264769 | Maria Ramirez | Counselor | 9023 E Fox St, Mesa, AZ 85207-5031 | 2008-08-13 |
1821274986 | Karen Marie Buckner | Counselor | 11536 E Dover St, Mesa, AZ 85207-2356 | 2008-01-18 |
1427102243 | Tempe Elementary School District | Counselor | 1866 S Don Carlos Cir, Mesa, AZ 85202-5413 | 2007-01-22 |
1215069976 | Catherine L Weigler | Counselor | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215595707 | Danielle Payne | Counselor | 4145 E Montecito St, Tucson, AZ 85711-4734 | 2019-05-30 |
1780135533 | Eva Tomashefski | Counselor | 11011 N 92nd St, #1121, Scottsdale, AZ 85260-6137 | 2016-10-17 |
1275905754 | A & G Child Care Center LLC | Counselor | 537 E Racine Pl, Casa Grande, AZ 85122-1611 | 2015-10-23 |
1235547654 | Brian Prince | Counselor | 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 | 2014-07-29 |
1023399227 | Sarah Joy Steele | Counselor | 7275 W Vineyard Rd, Laveen, AZ 85339-9805 | 2011-08-31 |
1255639902 | Sylvia Nockideneh-tee | Counselor | East Fir Street, Tuba City Junior High, Tuba City, AZ 86045 | 2011-03-04 |
1851600597 | Denisse Leon-uribe | Counselor | 3689 W Pageant Pl, Yuma, AZ 85364-3262 | 2010-09-29 |
1457689259 | Perla Nora Gonzalez | Counselor | 5832 W Ivanhoe St, Chandler, AZ 85226-1846 | 2009-12-07 |
1649508441 | Jennifer Palomares | Counselor | 8706 W Morten Ave, Glendale, AZ 85305-3945 | 2009-12-07 |
1912235714 | Joel Isaac Lopez | Counselor | 2727 N Price Rd Unit 62, Chandler, AZ 85224-4983 | 2009-12-07 |
Find all providers with the same taxonomy |
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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.