JENNIFER CUMMINGS SHOTWELL (NPI# 1720587173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720587173 |
| Entity Type | Individual |
| Full Name | JENNIFER CUMMINGS SHOTWELL |
| Credential | LCDC |
| Practice Address |
2626 Cole Ave Ste 300 Dallas TX 75204-1094 |
| Mailing Address |
6472 Trammel Dr Dallas TX 75214-2219 |
| Practice Telephone | 7135578430 |
| Mailing Telephone | 7135578430 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14218 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12810 Hillcrest Rd # B223, Dallas, TX 752301525 | 7135578430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548785140 | Jennifer Lynn Shotwell | Radiology | 462 Grider St, Buffalo, NY 14215-3021 | 2017-08-04 |
| 1083796940 | Jennifer Lea Myers Shotwell | Nurse Practitioner | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2006-10-19 |
| Street Address |
2626 COLE AVE STE 300 |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790187490 | Megan O'hare Lyons | Nutritionist | 2626 Cole Ave Ste 300, Dallas, TX 75204-1094 | 2014-09-24 |
| 1215577903 | Selah Neurological Respite Care, LLC | Respite Care | 2626 Cole Ave Ste 300, Dallas, TX 75204-1094 | 2020-01-09 |
| 1205487360 | All Absolute Home Care | Nurse Practitioner | 2626 Cole Ave Ste 300, Dallas, TX 75204-1094 | 2019-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564683 | Solutions Mental Health, Pllc | Counselor | 13500 Midway Rd Ste 400, Dallas, TX 75244-5155 | 2020-09-30 |
| 1588284848 | Prime Counseling | Counselor | 13140 Coit Rd Ste 215, Dallas, TX 75240-5786 | 2020-04-16 |
| 1174157093 | Stephanie Grogan | Counselor | 12800 Hillcrest Rd Ste A103, Dallas, TX 75230-1524 | 2020-02-29 |
| 1982236014 | Shannon Christine O'connor | Counselor | 3838 Rawlins St Apt 313, Dallas, TX 75219-4250 | 2020-02-06 |
| 1215576574 | Mary Kemp Tabor | Counselor | 14114 Dallas Pkwy Ste 245, Dallas, TX 75254-1331 | 2020-01-03 |
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1679116909 | Origins Counseling LLC | Counselor | 12810 Hillcrest Rd Ste B223, Dallas, TX 75230-1525 | 2019-10-18 |
| 1225679665 | Katherine Foutz | Counselor | 6301 Gaston Ave Ste 730, Dallas, TX 75214-6296 | 2019-10-07 |
| 1831730910 | Christopher Paul Logan | Counselor | 10588 Stone Canyon Rd Apt 309, Dallas, TX 75230-4419 | 2019-09-30 |
| Find all providers in DALLAS | ||||
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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.