SHANNON REBECCA PULLIAM (NPI# 1841821113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841821113 |
| Entity Type | Individual |
| Full Name | SHANNON REBECCA PULLIAM |
| Credential | PA-S |
| Practice Address |
3012 Charlotte St Kansas City MO 64109-1422 |
| Practice Telephone | 8167972111 |
| Mailing Telephone | 8167972111 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3012 CHARLOTTE ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64109-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255382 | Lindsey June Orlowski | Counselor | 3216 Gillham Rd, Suite 210, Kansas City, MO 64109 | 2020-01-28 |
| 1689227324 | Matthew Elbridge Langston | Counselor | 3211 Woodland Ave., Kansas City, MO 64109 | 2019-07-22 |
| 1508215104 | Careplus Home Care, LLC | Home Health | 2418 E Linwood Blvd, 302d, Kansas City, MO 64109 | 2016-06-06 |
| 1316318058 | Rosalind Carter | Registered Nurse | 3201 Woodland Ave, Kansas City, MO 64109 | 2015-10-07 |
| 1083083018 | Shantai Mccray | Counselor | 2420 E. Linwood Blvd, Suite 300 C, Kansas City, MO 64109 | 2015-09-21 |
| 1982028296 | Patricia Marie Hoard | Community Health Worker | 3647 Troost Ave, Kansas City, MO 64109 | 2014-02-06 |
| 1184045171 | Uzazi Village | Registered Nurse | 3647 Troost, Kansas City, MO 64109 | 2013-12-18 |
| 1285984583 | Bare Essentials Home Care Inc. | In Home Supportive Care | 3200 Wayne Ave., Suite 103, Kansas City, MO 64109 | 2012-09-13 |
| 1912139296 | Lisa Denise Powell | Homemaker | 3723 Park Ave, 3723 Park Ave, Kasas City, MO 64109 | 2009-08-20 |
| 1346716602 | Rita Nelson | Licensed Practical Nurse | 3211 Woodland Ave, Kansas City, MO 64109 | 2018-10-15 |
| Find all providers in zip 64109 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993093 | Alyssa Brown | Student in an Organized Health Care Education/Training Program | 1444 Grand Blvd Apt 1201, Kansas City, MO 64106-2975 | 2020-08-18 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1174142640 | John Price | Student in an Organized Health Care Education/Training Program | 12806 Lathrop Ave, Kansas City, KS 66109-1003 | 2020-04-14 |
| 1104454396 | Bryan Clements | Student in an Organized Health Care Education/Training Program | 3940 Genessee St, Kansas City, MO 64111-4105 | 2020-04-01 |
| 1699302729 | Molly Bliss | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 4034, Kansas City, KS 66160-8500 | 2020-03-26 |
| 1205467578 | Tina Thanh Thuy Tran | Student in an Organized Health Care Education/Training Program | 5100 Grand Ave, Kansas City, MO 64112-2739 | 2020-01-27 |
| 1124659495 | Danni Gray | Student in an Organized Health Care Education/Training Program | 806 E 110th Ter, Kansas City, MO 64131-3543 | 2020-01-27 |
| 1578194841 | Michael Peter Schooley | Student in an Organized Health Care Education/Training Program | 5414 N Mercier Ave, Kansas City, MO 64118-7821 | 2020-01-27 |
| 1023649399 | Jessica Hartzler | Student in an Organized Health Care Education/Training Program | 25 E 12th St Apt 1102, Kansas City, MO 64106-2342 | 2020-01-27 |
| 1306477674 | Catherine Link | Student in an Organized Health Care Education/Training Program | 2411 Holmes St Ofc M3-117, Kansas City, MO 64108-2741 | 2020-01-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64109 |
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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.