SHANNON ZIMMERMAN (NPI# 1629682398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629682398 |
| Entity Type | Individual |
| Full Name | SHANNON ZIMMERMAN |
| Practice Address |
11550 Villa Grand Apt 1311 Fort Myers FL 33913-8613 |
| Practice Telephone | 2172553744 |
| Mailing Telephone | 2172553744 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 89833 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336596626 | Shannon Zimmerman | Speech-Language Pathologist | 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 | 2016-05-17 |
| 1376608745 | Shannon Lee Zimmerman | Speech-Language Pathologist | 986 Belvedere Dr, Lebanon, OH 45036-2890 | 2006-12-26 |
| Street Address |
11550 VILLA GRAND APT 1311 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33913-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079368 | Fq0014 | Clinic/Center | 11930 Fairway Lakes Dr, Ste 103, Fort Myers, FL 33913 | 2020-06-26 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1043784432 | Alex Richard Reynolds | Physician Assistant | 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 | 2019-01-18 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1811322886 | Bernard Timothy Renner | Pharmacist | 10000 Gulf Coast Town Center Drive, Ft. Myers, FL 33913 | 2013-09-10 |
| 1831531979 | Debra Anne Channer | Pharmacist | 12550 Professional Park Drive Unit 1, Walgreens Co., Ft. Myers, FL 33913 | 2013-07-17 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| Find all providers in zip 33913 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471053 | Cassandra Biscardi | Massage Therapist | 9634 Roundstone Cir, Fort Myers, FL 33967-5155 | 2020-09-11 |
| 1316551344 | Jamie Lynne Gilbert | Massage Therapist | 1754 Maple Ave, Fort Myers, FL 33901-6015 | 2020-09-08 |
| 1053925495 | Renata Bailey | Massage Therapist | 5351 Chippendale Cir E, Fort Myers, FL 33919-2237 | 2020-09-02 |
| 1497364525 | Jessica Bibeau | Massage Therapist | 16521 San Carlos Blvd Ste 200, Fort Myers, FL 33908-5245 | 2020-07-24 |
| 1275157554 | Jessica Mickelsen | Massage Therapist | 13440 Parker Commons Blvd Ste 103, Fort Myers, FL 33912-1816 | 2020-06-03 |
| 1265082622 | Brenda Schulpius | Massage Therapist | 4460 Fowler St Ste 4, Fort Myers, FL 33901-2617 | 2019-09-18 |
| 1922501089 | Luis Alvarez | Massage Therapist | 2665 Cleveland Ave Ste 201-205, Fort Myers, FL 33901-5850 | 2018-03-15 |
| 1093228512 | Tanya Ashley Solt | Massage Therapist | 2319 Davis Blvd, Fort Myers, FL 33905-4846 | 2017-11-06 |
| 1114306792 | Patricia Ortiz | Massage Therapist | 13120 Westlinks Ter, Unit 9, Fort Myers, FL 33913-8652 | 2015-05-28 |
| 1275963670 | Tifani Megan Revels Lee | Massage Therapist | 6202 Presidential Ct, Suite B, Fort Myers, FL 33919-3563 | 2013-11-21 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33913 |
Please comment or provide details below to improve the information on SHANNON ZIMMERMAN.
| 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.