JUSTIN SHANNON (NPI# 1710344247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710344247 |
| Entity Type | Individual |
| Full Name | JUSTIN SHANNON |
| Practice Address |
3106 84th St S Lakewood WA 98499-8990 |
| Practice Telephone | 2535887180 |
| Mailing Telephone | 2535887180 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093745655 | Justin R Shannon | Nurse Practitioner | 2175 Rosaline Ave, Redding, CA 96001-2509 | 2006-07-03 |
| Street Address |
3106 84TH ST S |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902468689 | Yocheved Schwartz | Adult Companion | 441 Rose Ct, Lakewood, NJ 08701-5873 | 2019-07-02 |
| 1326429887 | Octavia Sjhanette Vaughn | Adult Companion | 1352 Thoreau Rd, Lakewood, OH 44107-2846 | 2015-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934442 | Andrea Jean Smith | Adult Companion | 3318 N Defiance St, Tacoma, WA 98407-1512 | 2019-10-25 |
| 1043774029 | Angel Network Inc. | Adult Companion | 1500 Benson Rd S Ste 101, Renton, WA 98055-4434 | 2019-01-24 |
| 1326326992 | Gwendolyn Jean Mcmurtrey Ingels | Adult Companion | 17011 S Vaughn Road Kpn, Vaughn, WA 98394 | 2011-07-29 |
| 1275704637 | Hong Zhu | Adult Companion | 2635 Sw 335th Ct, Federal Way, WA 98023-2853 | 2008-03-13 |
| 1558539734 | Barnaby David Denison | Adult Companion | 42 Klondike Road, Republic, WA 99166 | 2008-02-11 |
| 1104014745 | Michael Lincoln | Adult Companion | 9805 Ne 16th St, Vancouver, WA 98664-3027 | 2007-10-09 |
| 1184810103 | Angela Nykole Taylor | Adult Companion | 3112 Ne 115th Ave, Vancouver, WA 98682-8718 | 2007-09-24 |
| 1346440757 | Janelle Osborn | Adult Companion | 500 Nw 82nd St, Vancouver, WA 98665-7842 | 2007-07-23 |
| 1972628592 | Pamela Ellis | Adult Companion | 1126 W 29th St, Vancouver, WA 98660-2090 | 2007-03-20 |
| 1801403084 | Cameron Gomez | Adult Companion | 711 S 25th St Ste B, Tacoma, WA 98405-4306 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.