SHANNON LEA ROBERTSON (NPI# 1669961819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669961819 |
| Entity Type | Individual |
| Full Name | SHANNON LEA ROBERTSON |
| Practice Address |
4251 Golding Ave Apt 5207 Fort Worth TX 76155-2141 |
| Practice Telephone | 9033280774 |
| Mailing Telephone | 9033280774 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 331741 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968758 | Shannon Robertson | Dietitian, Registered | 1800 Baronne St Apt 204, New Orleans, LA 70113-1582 | 2019-12-03 |
| 1184197543 | Shannon Stefan Robertson | Nurse Practitioner | 2719 Brodhead Rd Ste 190, Aliquippa, PA 15001-2793 | 2019-01-09 |
| 1205265295 | Shannon Horton Robertson | Registered Nurse | 16412 London Ave, Baton Rouge, LA 70819-1821 | 2013-11-11 |
| 1942590146 | Shannon Yvette Robertson | Counselor | 1474 Newbury St, Georgetown, TX 78626-7617 | 2011-04-10 |
| 1144483736 | Shannon Cody Robertson | Counselor | 10 Lee Road 546, Smiths, AL 36877-4624 | 2008-07-03 |
| 1124683156 | Shannon Jenine Robertson | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2019-05-06 |
| 1962995795 | Shannon Lee Robertson | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2018-06-06 |
| 1982995643 | Shannon Robertson | Chiropractor | 1413 Charnelton St, Eugene, OR 97401-3906 | 2011-04-28 |
| 1134299563 | Shannon Faye Robertson | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2006-11-09 |
| Street Address |
4251 GOLDING AVE APT 5207 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76155-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053757815 | Varsha Patel | Pharmacist | 15001 Trinity Boulevard, Fort Worth, TX 76155 | 2013-05-20 |
| 1922194588 | Rebecca Lyn Snell | Physical Therapist | 4255 Amon Carter Blvd., Fort Worth, TX 76155 | 2006-10-04 |
| 1932110525 | Medpro Pharmacy LLC | Pharmacy | 4200 Buckingham Road, Suite 105b, Fort Worth, TX 76155 | 2006-08-10 |
| 1659972230 | Covetrus Pharmacy Services, LLC | Pharmacy | 14800 Faa Blvd Ste 150, Fort Worth, TX 76155-2252 | 2020-11-02 |
| 1568491553 | Omnicare Pharmacy of Texas No 1 Lp | Pharmacy | 14450 Trinity Blvd, Suite 200, Ft Worth, TX 76155-2549 | 2006-07-02 |
| 1710596200 | Mary Goertz | Physical Therapist | 4120 Highway 360 Ste 105, Fort Worth, TX 76155-2562 | 2020-07-30 |
| 1104131507 | Merlie Tameika Anderson | Speech-Language Pathologist | 4300 Dulles Dr, 13307, Fort Worth, TX 76155-2575 | 2010-08-10 |
| 1619448248 | Nulife Pharmacy, Inc | Pharmacy | 14150 Trinity Blvd Ste 750, Fort Worth, TX 76155-2597 | 2018-12-07 |
| 1225233422 | Thomas Neal Bettes | Family Medicine | 4255 Amon Carter Blvd, American Airlines Medical Dept., Fort Worth, TX 76155-2603 | 2007-06-18 |
| 1952756355 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 4255 Amon Carter Blvd, Hdq Building 2, Fort Worth, TX 76155-2603 | 2016-05-04 |
| Find all providers in zip 76155 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069292 | Monika Morales | Licensed Vocational Nurse | 4117 Surrey St, Fort Worth, TX 76133-1072 | 2020-10-06 |
| 1881291466 | Chioma B Ogba | Licensed Vocational Nurse | 505 Constellation Ct, Fort Worth, TX 76108-3894 | 2020-10-06 |
| 1720693989 | Karen Genelle Harris | Licensed Vocational Nurse | 3933 Willow Way Rd, Fort Worth, TX 76133-6802 | 2020-09-14 |
| 1669087995 | Edlisa Harris | Licensed Vocational Nurse | 4500 Brentwood Stair Rd Apt 1131, Fort Worth, TX 76103-1621 | 2020-09-14 |
| 1497360226 | Cindy Rena Lujan | Licensed Vocational Nurse | 3833 German Pointer Way, Fort Worth, TX 76123-3501 | 2020-09-09 |
| 1649884503 | Demetria M Davis | Licensed Vocational Nurse | 5204 Trail Lake Dr, Fort Worth, TX 76133-1929 | 2020-09-08 |
| 1679185946 | Frances Marie Grear-wilkinson | Licensed Vocational Nurse | 333 Allenwood Dr, Fort Worth, TX 76134-5356 | 2020-08-18 |
| 1063023810 | Michelle Renae Morgan | Licensed Vocational Nurse | 9024 Golden Sunset Trl, Fort Worth, TX 76244-4940 | 2020-08-14 |
| 1497372502 | Ivy L Lopez | Licensed Vocational Nurse | 10717 Broken Arrow Trl, Fort Worth, TX 76108-4751 | 2020-07-06 |
| 1225654452 | Jamie D Boone | Licensed Vocational Nurse | 4437 Stepping Stone Dr, Fort Worth, TX 76123-1869 | 2020-06-23 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76155 |
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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.