MRS. SHANNON MICHELLE RATHBUN (NPI# 1780733691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780733691 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MICHELLE RATHBUN |
| Other Name | SHANNON MICHELLE ULRICH |
| Credential | PA-C |
| Practice Address |
1425 S Main St Walnut Creek CA 94596-5318 |
| Mailing Address |
307 Kathleen Dr Pleasant Hill CA 94523-2219 |
| Practice Telephone | 9252956018 |
| Mailing Telephone | 9257088554 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
16801 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1425 S MAIN ST |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342638 | Ingrid Wendy Fernandes | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2005-08-09 |
| 1982221297 | Michelle Nhumai Huynh | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-07-02 |
| 1144869322 | Darrell James David | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-01-05 |
| 1306484530 | Kayla Galanter | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-12-18 |
| 1184260804 | Carol Jean Mcmenamy | Social Worker | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-18 |
| 1871138990 | Gloria Yatmen Lai | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-12 |
| 1851945901 | Zsanell Go | Physical Therapist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-07-26 |
| 1043776453 | Bridget Rochios | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1518423920 | Britnie Lee Milam | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
| 1326503244 | Megan R Moore | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063520906 | James Quintella | Physician Assistant | 301 Lennon Ln Ste 100, Walnut Creek, CA 94598-2426 | 2006-08-29 |
| 1356956460 | Kali Anne Koziol | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-09-15 |
| 1619517745 | Benjamin Joseph Hubbard | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2020-01-07 |
| 1306499272 | Kevin Byrne | Physician Assistant | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2019-07-19 |
| 1881062750 | Zachary Symmes | Physician Assistant | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2015-09-09 |
| 1588960694 | Kennard David Beard | Physician Assistant | 1990 N California Blvd, Suite 400, Walnut Creek, CA 94596-3742 | 2011-02-07 |
| 1184959033 | Jennifer Hisako Hayashi | Physician Assistant | 301 Lennon Ln, Suite 102, Walnut Creek, CA 94598-2483 | 2009-10-09 |
| 1992936868 | Claire Elizabeth Kerney | Physician Assistant | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2009-07-27 |
| 1588856066 | James E Michael | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2007-08-17 |
| 1114078631 | Mark Okawachi | Physician Assistant | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-12 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on MRS. SHANNON MICHELLE RATHBUN.
| 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.