SHANNON COUGHLIN GARRETT (NPI# 1699096057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699096057 |
| Entity Type | Individual |
| Full Name | SHANNON COUGHLIN GARRETT |
| Credential | FNP-C |
| Practice Address |
4825 S Laburnum Ave Richmond VA 23231-2713 |
| Practice Telephone | 8047278104 |
| Practice Fax Number | 8046491635 |
| Mailing Telephone | 8047278104 |
| Mailing Fax Number | 8046491635 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024168839 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C06115 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699035337 | Shannon M Garrett | Massage Therapist | 5005 Main Street, Suite 125, Tacoma, WA 98407-3168 | 2012-05-28 |
| 1013423870 | Shannon Garrett | Behavioral Analyst | 5446 N Academy Blvd Ste 105, Colorado Springs, CO 80918-3668 | 2017-12-15 |
| 1023567211 | Shannon Garrett | Specialist/Technologist, Other | 1801 W End Ave Ste 1610, Nashville, TN 37203-2532 | 2016-09-28 |
| 1619358215 | Shannon Garrett | Case Manager/Care Coordinator | 101 Letton Dr, Raton, NM 87740-4366 | 2015-06-09 |
| 1194141838 | Shannon Garrett | Counselor | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2014-03-05 |
| Street Address |
4825 S LABURNUM AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23231-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568864189 | Mirjam Bryan | Physician Assistant | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2014-09-26 |
| 1467790618 | Lindsay A Snead | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2013-01-23 |
| 1750522371 | Anne Blair Caldwell | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2009-03-11 |
| 1528259181 | Alexia Jeanine Gerczak | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-08-07 |
| 1316155328 | Annamaria Zita Moldovan | Psychiatry & Neurology | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-05-21 |
| 1487786547 | Edward Gilmour Hayes | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-03-12 |
| 1114054467 | Michael W. Nielsen | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-27 |
| 1366579609 | Rebecca Smith Mccracken | Psychologist | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-27 |
| 1255475422 | Brenda Ingram Dandridge | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-19 |
| 1447394184 | Pamela June Gardner-davis | Registered Nurse | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1548721160 | Ray E Hill Jr. | Non-emergency Medical Transport (VAN) | 9469 Barrett Pl, Richmond, VA 23231 | 2019-03-27 |
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1225371743 | Vantage Point Community Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8005 Diamond Ridge Court, Henrico, VA 23231 | 2013-04-03 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1407050982 | Tawana Toneke Olds-davis | Counselor | 4305 Hillbrook Ave, Richmond, VA 23231 | 2007-06-11 |
| 1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
| 1235229113 | Aunt Anns Home for Adolescents | Counselor | 5901 Almond Creek N Lane, Richmond, VA 23231 | 2006-10-13 |
| 1962500421 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 | 2006-09-20 |
| 1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
| Find all providers in zip 23231 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908519 | Demia Houston Louis | Nurse Practitioner | 19722 Norfolk Ridge Way, Richmond, TX 77407-7124 | 2020-10-07 |
| 1134726284 | Tara Hart | Nurse Practitioner | 521 Lancaster Ave # 223, Richmond, KY 40475-3102 | 2020-10-01 |
| 1689280372 | Chinyere Onyemaechi Adiuku | Nurse Practitioner | Chinyere Adiuku, 17831 Planters Path Lane, Richmond, TX 77407-7740 | 2020-09-18 |
| 1598379596 | Rebecca Pfeifer-rosenblum | Nurse Practitioner | 5939 Sutter Ave, Richmond, CA 94804-5260 | 2020-09-07 |
| 1578176970 | Grace Pulliam Gilmore | Nurse Practitioner | 29 Malvern Ave Apt 5, Richmond, VA 23221-2666 | 2020-08-25 |
| 1891306429 | Caroline Njuguna | Nurse Practitioner | 7210 Still Haven Dr, Richmond, TX 77407-7131 | 2020-08-17 |
| 1720699143 | Rukayat Omolara Yusuf | Nurse Practitioner | 8506 Heather Maple Ct, Richmond, TX 77407-2476 | 2020-08-10 |
| 1457969859 | Richmond Medical Group Inc | Nurse Practitioner | 1407 Mustang Lake Ct, Richmond, TX 77406-7961 | 2020-07-21 |
| 1093332744 | Patience I Nehikhuere | Nurse Practitioner | 7519 Misty Meadow Ct, Richmond, TX 77469-7322 | 2020-06-29 |
| 1275150252 | Ngozi Mba | Nurse Practitioner | 11335 Sandhaven Dr, Richmond, TX 77407-4534 | 2020-06-25 |
| Find all providers in RICHMOND | ||||
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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.