LAURYN CHRISTINE SHANNON (NPI# 1871152017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871152017 |
| Entity Type | Individual |
| Full Name | LAURYN CHRISTINE SHANNON |
| Practice Address |
2800 E Ajo Way Tucson AZ 85713-6204 |
| Practice Telephone | 5209548434 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
14706 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA BOARD OF BEHAVIORAL HEALTH | LAC-16453 | 01 |
| CO | DEPARTMENT OF REGULATORY AGENCY | 14706 | 01 |
| Street Address |
2800 E AJO WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033105002 | Andrzej Honory | Psychiatry & Neurology | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2005-09-23 |
| 1962002584 | Carly Rae Moskowitz | Student in an Organized Health Care Education/Training Program | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-11-01 |
| 1730794207 | Rachel Ramirez | Nurse Practitioner | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-09-11 |
| 1356953954 | Johnathan Mougin | Registered Nurse | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-08-17 |
| 1689282279 | Armaan Dhaliwal | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-20 |
| 1881212264 | Anas Husni Mohamad Abu Assi | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-11 |
| 1801413620 | Niharika Vennelaganti | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713 | 2020-06-26 |
| 1134740970 | Anirudh Tadakamalla | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-05-04 |
| 1225659287 | Sakher Yousef Mahmoud Sarairah | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| 1578184537 | Brian Schiffman | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1396363172 | Carly Moss | Counselor | 4625 E Broadway Blvd Ste 105, Tucson, AZ 85711-3575 | 2020-07-08 |
| 1891317665 | Chris Ledyard | Counselor | 1150 N Sonoita Ave, Tucson, AZ 85712-5169 | 2020-05-14 |
| 1437770013 | Elsa M Duarte | Counselor | 1900 W Speedway Blvd, Tucson, AZ 85745-2215 | 2020-05-05 |
| 1679194898 | Kelly J Wilt | Counselor | 469 S Convent Ave, Tucson, AZ 85701-2261 | 2020-04-28 |
| 1598385098 | David Thomas Bradley | Counselor | 5909 E 3rd St, Tucson, AZ 85711-1522 | 2020-04-24 |
| 1689203036 | Mary C Cahilly | Counselor | 2165 N Camino Agrios, Tucson, AZ 85715-5908 | 2020-04-07 |
| 1316575418 | Gayla Lemley | Counselor | 3600 N Camino Sinuoso, Tucson, AZ 85718-7219 | 2020-04-01 |
| 1649806738 | Metamorphosis Counseling Services | Counselor | 310 S Williams Blvd Ste 235, Tucson, AZ 85711-7704 | 2020-03-20 |
| 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.