SHANNON LEE JOHNSON (NPI# 1902022841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902022841 |
| Entity Type | Individual |
| Full Name | SHANNON LEE JOHNSON |
| Other Name | SHANNON LEE CASSADY |
| Credential | MA |
| Practice Address |
317 Hospital Street Moulton AL 35650 |
| Mailing Address |
1316 Somerville Rd Se Suite 1 Decatur AL 35601-4305 |
| Practice Telephone | 2563556105 |
| Practice Fax Number | 2563410747 |
| Mailing Telephone | 2562607361 |
| Mailing Fax Number | 2563410747 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF AL PROVIDER # | 051532124 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787579 | Shannon R Johnson | Physical Therapy Assistant | 2030 N 15th Rd, Streator, IL 61364-9754 | 2020-04-01 |
| 1225688146 | Shannon D Johnson | Counselor | 505 University Dr E Ste 501, College Station, TX 77840-1797 | 2019-09-12 |
| 1174184402 | Shannon Symone Johnson | Registered Nurse | 1120 Country View Ln Apt 11d, Toledo, OH 43615-8315 | 2019-06-26 |
| 1114435484 | Shannon Marie Johnson | Nurse Practitioner | 120 Horton Ln, Belvidere, TN 37306-2109 | 2018-01-19 |
| 1972859478 | Shannon Johnson | Counselor | 2502 Beech St Unit 6, Valparaiso, IN 46383-6214 | 2012-08-02 |
| 1295012508 | Shannon Christina Johnson | Physician Assistant | 13111 E. Briarwood Ave #15, Centennial, CO 80112 | 2011-11-15 |
| 1689815771 | Shannon Marie Johnson | Speech-Language Pathologist | 1567 Elmwood Ave, Apt6, Rochester, NY 14620-3616 | 2009-03-18 |
| 1801080619 | Shannon Marie Johnson | Nurse Practitioner | 7900 Highway 76, Pendleton, SC 29670-8876 | 2007-09-05 |
| 1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
| 1841324431 | Shannon N Johnson | Counselor | 1002 Yanceyville St, Greensboro, NC 27405-7842 | 2007-03-15 |
| Street Address |
317 HOSPITAL STREET |
| City | MOULTON |
| State | AL |
| Zip Code | 35650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| 1265602585 | State of Alabama | Public Health or Welfare | 13280 Al Highway 157, Moulton, AL 35650-0278 | 2008-03-03 |
| Find all providers in zip 35650 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772781 | Kathryn G Anderson | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2019-10-28 |
| 1619526878 | Tiana Denise Welch | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2019-09-10 |
| 1457824971 | Coleman Alan Thompson | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2019-01-08 |
| 1770055444 | Madison Alexandra Johnson | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2018-12-19 |
| 1073015426 | Jeremy Scott Long | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2018-03-01 |
| 1518480219 | Miranda L Jordan | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2017-07-25 |
| 1952847873 | Jennifer Wynn | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2017-01-17 |
| 1497298939 | Alicia Lomack | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2016-12-01 |
| 1588119374 | Cassie Parker | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2016-08-22 |
| 1619421534 | Celetta Coleman-selby | Counselor | 295 Hospital St, Moulton, AL 35650-1210 | 2016-08-09 |
| Find all providers in MOULTON | ||||
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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.