SHANNON MARIE JOHNSON (NPI# 1710231261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710231261 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE JOHNSON |
| Credential | NP-C |
| Practice Address |
22710 Professional Dr Suite 201 Kingwood TX 77339-6008 |
| Practice Telephone | 2813128510 |
| Practice Fax Number | 2813591540 |
| Mailing Telephone | 2813128510 |
| Mailing Fax Number | 2813591540 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
781044 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787579 | Shannon R Johnson | Physical Therapy Assistant | 2030 N 15th Rd, Streator, IL 61364-9754 | 2020-04-01 |
| 1225688146 | Shannon D Johnson | Counselor | 505 University Dr E Ste 501, College Station, TX 77840-1797 | 2019-09-12 |
| 1174184402 | Shannon Symone Johnson | Registered Nurse | 1120 Country View Ln Apt 11d, Toledo, OH 43615-8315 | 2019-06-26 |
| 1114435484 | Shannon Marie Johnson | Nurse Practitioner | 120 Horton Ln, Belvidere, TN 37306-2109 | 2018-01-19 |
| 1972859478 | Shannon Johnson | Counselor | 2502 Beech St Unit 6, Valparaiso, IN 46383-6214 | 2012-08-02 |
| 1295012508 | Shannon Christina Johnson | Physician Assistant | 13111 E. Briarwood Ave #15, Centennial, CO 80112 | 2011-11-15 |
| 1689815771 | Shannon Marie Johnson | Speech-Language Pathologist | 1567 Elmwood Ave, Apt6, Rochester, NY 14620-3616 | 2009-03-18 |
| 1801080619 | Shannon Marie Johnson | Nurse Practitioner | 7900 Highway 76, Pendleton, SC 29670-8876 | 2007-09-05 |
| 1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| Street Address |
22710 PROFESSIONAL DR SUITE 201 |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77339-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425211 | Mary K Crow | Internal Medicine | 22710 Professional Dr, Kingwood, TX 77339-6008 | 2005-05-23 |
| 1740732932 | Gayle Gordon | Nurse Practitioner | 22710 Professional Dr, Suite 203, Kingwood, TX 77339-6008 | 2016-11-04 |
| 1558763060 | Deanna Marie Camacho | Nurse Practitioner | 22710 Professional Dr, Suite 203, Kingwood, TX 77339-6008 | 2014-09-16 |
| 1114335775 | Millennium Physicians Associaton, Pllc | Nurse Practitioner | 22710 Professional Dr, Suite 203, Kingwood, TX 77339-6008 | 2014-07-28 |
| 1467675454 | Vanessa Lynn Elledge | Physician Assistant | 22710 Professional Dr, Suite 202, Kingwood, TX 77339-6008 | 2007-04-10 |
| 1114086063 | Craig A. Kovitz | Internal Medicine | 22710 Professional Dr, Kingwood, TX 77339-6008 | 2006-12-07 |
| 1972670032 | Hazel J Heddings | Family Medicine | 22710 Professional Dr, Kingwood, TX 77339 | 2006-11-30 |
| 1033141569 | Nimi L Tuamokumo | Radiology | 22710 Professional Dr, Radiation Department, Kingwood, TX 77339-6008 | 2006-07-07 |
| 1801851225 | Salvador Rafael Recio | Internal Medicine | 22710 Professional Dr, Suite 203, Kingwood, TX 77339-6008 | 2006-04-19 |
| 1730142068 | Murtaza N Bhuriwala | Internal Medicine | 22710 Professional Dr, Kingwood, TX 77339-6008 | 2006-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609115708 | Tiffany Ruth Cutbirth | Nurse Practitioner | 22698 Professional Dr, Suite 120, Kingwood, TX 77339-5700 | 2013-02-08 |
| 1689979957 | Christin Michelle Touchet | Nurse Practitioner | 3036 Northpark Dr, Kingwood, TX 77339-5114 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
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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.