SHANNON E OLIVER (NPI# 1811322324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811322324 |
| Entity Type | Individual |
| Full Name | SHANNON E OLIVER |
| Credential | MA |
| Practice Address |
14 Pacella Park Dr Randolph MA 02368-1756 |
| Practice Telephone | 7814371400 |
| Mailing Telephone | 7814371400 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026265 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720622780 | Shannon Oliver | Counselor | 248 Seneca St Fl 3, Oil City, PA 16301-1371 | 2019-11-03 |
| 1265086003 | Shannon Oliver | Nurse Practitioner | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2019-07-30 |
| 1184084972 | Shannon Oliver I | Specialist/Technologist, Other | 10250 N 92nd St, Suite 102, Scottsdale, AZ 85258-4510 | 2016-03-07 |
| 1467856179 | Shannon Lynn Oliver | Social Worker | 100 River Place Dr, Suite 250, Detroit, MI 48207-4274 | 2014-10-09 |
| Street Address |
14 PACELLA PARK DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477856839 | Hilary Lynn Collins | Behavioral Analyst | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2010-12-07 |
| 1538658695 | Lisa Gibson | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2018-05-04 |
| 1548757636 | Jenna M Launie | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2018-04-16 |
| 1013416924 | Gabrielle N Bartholomew | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2018-02-06 |
| 1881101285 | Chase A Decoster | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2018-01-08 |
| 1942712658 | Mary Ellen Campisi | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-11-03 |
| 1306358015 | Nicole C Jordan | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-11-03 |
| 1477063097 | Angela N Guaraldi | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-10-10 |
| 1588183727 | Kathryn Runci | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-09-19 |
| 1083132443 | Katrina T Kennedy | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044774 | Safe Space Therapeutic Services, Inc. | Counselor | 10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 | 2020-02-10 |
| 1336770155 | Crystal Casel | Counselor | 356 Main St E, Randolph, NY 14772-9696 | 2020-01-30 |
| 1386112126 | Bianca S Mathe | Counselor | 55 Birch Dr, Randolph, MA 02368-3406 | 2018-11-09 |
| 1184122566 | Lois T Awah | Counselor | 10 Mill Hill St, Randolph, MA 02368-5082 | 2018-01-31 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1114462116 | Paula Marie Weaver | Counselor | 25 Norfolk Rd, Randolph, MA 02368-4714 | 2016-12-29 |
| 1902259088 | Grace Gichuhi | Counselor | 286 Canton St, Randolph, MA 02368-1506 | 2016-07-13 |
| 1598117756 | Sharon George | Counselor | 9 Linden Park Dr, Randolph, MA 02368-4703 | 2016-07-12 |
| 1235597576 | Emline Clairvil | Counselor | 278 Canton St, Randolph, MA 02368-1506 | 2016-02-01 |
| Find all providers in RANDOLPH | ||||
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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.