SHANNON HARDY (NPI# 1619438843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619438843 |
| Entity Type | Individual |
| Full Name | SHANNON HARDY |
| Credential | MD, MHS |
| Practice Address |
4301 W Markham St # 530 Little Rock AR 72205-7101 |
| Mailing Address |
1510 Avellino Cir Murfreesboro TN 37130-7609 |
| Practice Telephone | 5016868820 |
| Mailing Telephone | 6155562403 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124220 | Shannon Hardy | Occupational Therapist | 484 Main St, Worcester, MA 01608-1893 | 2018-08-20 |
| 1083007850 | Shannon Hardy | Counselor | 1019 E Water St, Elmira, NY 14901-3332 | 2015-03-18 |
| 1437548088 | Shannon Hardy | Student in an Organized Health Care Education/Training Program | 11303 W Washington Blvd, Los Angeles, CA 90066-6003 | 2015-01-21 |
| 1023363769 | Shannon Hardy | Technician, Other | 309 Spruce Street, Fort Yukon, AK 99740 | 2012-07-18 |
| 1902097181 | Shannon Leigh Hardy | Obstetrics & Gynecology | 6550 Fannin St, Suite 2221, Houston, TX 77030-2717 | 2007-08-05 |
| Street Address |
4301 W MARKHAM ST # 530 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033375167 | Deipti H Trehun | Family Medicine | 4301 W Markham St # 530, Little Rock, AR 72205-7101 | 2008-07-29 |
| 1548899636 | Monica Kothari | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 530, Little Rock, AR 72205-7101 | 2020-04-02 |
| 1518595388 | Ethan Chandler | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 530, Little Rock, AR 72205-7199 | 2020-03-29 |
| 1851929673 | Diorella Marie Lopez-gonzalez | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 530, Little Rock, AR 72205-7101 | 2020-03-28 |
| 1215565056 | Payal Nitin Gandhi | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 530, Little Rock, AR 72205-7101 | 2020-03-28 |
| 1174151070 | Michael L Ren | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 530, Little Rock, AR 72205-7101 | 2020-03-28 |
| 1326500406 | Swapna Manyam | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 530, Little Rock, AR 72205-7101 | 2019-04-05 |
| 1629539630 | Rebecca Ann Moore | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 530, Little Rock, AR 72205-7101 | 2019-03-31 |
| 1497252407 | Alexa Martin | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 530, Little Rock, AR 72205-7199 | 2018-04-07 |
| 1750887352 | Yasthil Vijay Jaganath | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 530, Little Rock, AR 72205-7101 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686571 | Prachi Saluja | Student in an Organized Health Care Education/Training Program | 2400 Riverfront Dr Apt 424, Little Rock, AR 72202-2219 | 2020-07-16 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1306460456 | Vidhu Vadini | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 634, University of Arkansas For, Little Rock, AR 77205 | 2020-06-04 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1336778950 | Duy Ha | Student in an Organized Health Care Education/Training Program | 1403 Kavanaugh Blvd, Little Rock, AR 72205-4323 | 2020-04-06 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1861021990 | Alexander Winslow Payne | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 552, Little Rock, AR 72205-7199 | 2020-04-01 |
| 1316575657 | Jonathan Colby Smith | Student in an Organized Health Care Education/Training Program | 4301 W Markham, Slot 602, Little Rock, AR 72205-7101 | 2020-03-31 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on SHANNON HARDY.
| 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.