MR. SHANNON ORLANDO ROBERTS (NPI# 1780742916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780742916 |
| Entity Type | Individual |
| Full Name | MR. SHANNON ORLANDO ROBERTS |
| Credential | MBA |
| Practice Address |
3657 S Double Echo Rd Tucson AZ 85735-5132 |
| Practice Telephone | 5209081461 |
| Mailing Telephone | 5209081461 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
4119 | AZ | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623691 | Shannon Monique Roberts | Behavior Technician | 6148 Passionate Ct, N Las Vegas, NV 89031-3538 | 2019-05-04 |
| 1215496005 | Shannon Ann Roberts | Behavior Technician | 432 West St, Gaylord, MI 49735-8301 | 2019-03-19 |
| 1235306119 | Shannon Roberts | Chiropractor | 3786 S East St, Indianapolis, IN 46227-1241 | 2008-05-10 |
| 1629286869 | Shannon Nicole Roberts | Technician | 1813 Flinthill Dr, Columbus, OH 43223-3542 | 2007-05-20 |
| 1255374880 | Shannon Leigh Roberts | Nurse Practitioner | 7744 Conner Rd, Powell, TN 37849-3509 | 2006-06-13 |
| 1578182101 | Shannon Leigh Roberts | Chiropractor | 11 E Calhoun St, Sumter, SC 29150-4315 | 2020-04-14 |
| 1073174215 | Shannon Roberts | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2019-06-27 |
| 1467817072 | Shannon Roberts | Specialist | 175 Burdette St, Spartanburg, SC 29307-1003 | 2015-12-24 |
| 1740535814 | Shannon Dobelbower Roberts | Dentist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2012-07-16 |
| 1992931380 | Shannon Roberts | Emergency Medicine | 7435 W Talcott Ave, Resurrection Emergency Medicine Residency Program, Chicago, IL 60631-3707 | 2009-05-31 |
| Street Address |
3657 S DOUBLE ECHO RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85735-5132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033756358 | Native Music Coalition | Residential Treatment Facility, Emotionally Disturbed Children | 5150 S Crazy Cat Ln, Tucson, AZ 85735 | 2019-12-05 |
| 1295023976 | Ana Lillian Aguilar | Contractor | 22405 W Bush Rd, Tucson, AZ 85735 | 2011-07-15 |
| 1912046566 | Juan M Vasquez | Community Based Residential Treatment Facility, Mental Illness | 9264 S. Wilt Bank Road, Tucson, AZ 85735 | 2007-02-06 |
| 1558343012 | Amy N Brunsvold | Nurse Practitioner | 15921 W Ajo Way, Tucson, AZ 85735 | 2005-11-18 |
| 1609354992 | Angela M Robbins | Nurse Practitioner | 15921 W Ajo Hwy, Tucson, AZ 85735 | 2018-07-30 |
| 1366637456 | Charlene A Gundry | Nurse Practitioner | 15921 W Ajo Way, Tucson, AZ 85735 | 2007-09-11 |
| 1619001492 | Debra E Stamp | Nurse Practitioner | 15921 W Ajo Way, Tucson, AZ 85735 | 2007-03-15 |
| 1316999790 | United Community Health Center - Maria Auxiliadora, Inc. | Clinic/Center | 15921 W Ajo Way, Tucson, AZ 85735 | 2006-05-16 |
| 1760633804 | Edna Mercedes Canaletti | Respite Care | 7250 W Bopp Rd, Tucson, AZ 85735-1101 | 2008-10-07 |
| 1922488907 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 15390 W Ajo Hwy, Tucson, AZ 85735-2023 | 2015-06-04 |
| Find all providers in zip 85735 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1366097073 | Lisa Ann Harper | Respite Care | 6910 N Sanders Rd, Tucson, AZ 85743-8174 | 2019-08-08 |
| 1699329904 | Robin Allen | Respite Care | 9390 N Jessy Ln, Tucson, AZ 85742-9124 | 2019-07-25 |
| 1558859447 | Veronica Molina-hubbard | Respite Care | 3131 W Los Reales Rd, Tucson, AZ 85746-8232 | 2018-04-25 |
| 1154827830 | Ola Mt Bakir | Respite Care | 9503 N Stonebrook Dr, Tucson, AZ 85743-5488 | 2018-04-02 |
| 1922513068 | Casey Partiz | Respite Care | 2625 N Norton Ave, Tucson, AZ 85719-3234 | 2017-12-12 |
| 1619492121 | Marquie L. Walker | Respite Care | 5121 E 29th St Apt 125, Tucson, AZ 85711-5802 | 2017-08-04 |
| 1720532203 | Roseanna Gonzalez | Respite Care | 5545 S Cassia Way, Tucson, AZ 85706-3409 | 2016-08-12 |
| 1871957001 | Arizona's Children Association | Respite Care | 3716 E Columbia St Ste 120, Tucson, AZ 85714-3414 | 2016-04-13 |
| 1902262173 | Luz Vasquez | Respite Care | 1929 S Magnolia Ave, Tucson, AZ 85711-6531 | 2016-01-04 |
| Find all providers in TUCSON | ||||
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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.