MR. SHANNON VINSON (NPI# 1932709979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932709979 |
| Entity Type | Individual |
| Full Name | MR. SHANNON VINSON |
| Practice Address |
12118 Parade Park Place Houston TX 77047-3534 |
| Practice Telephone | 8328347304 |
| Practice Fax Number | 8323277987 |
| Mailing Telephone | 8328347304 |
| Mailing Fax Number | 8323277987 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235603580 | Shannon Vinson | Behavior Technician | 3914 Murphy Canyon Rd, San Diego, CA 92123-4491 | 2019-01-18 |
| 1043662398 | Shannon Vinson | Registered Nurse | 2670 Mcingvale Rd Ste H, Hernando, MS 38632-8695 | 2016-07-11 |
| 1962818690 | Shannon Leigh Vinson | Nurse Practitioner | 1202 S Tyler St, Covington, LA 70433-2330 | 2014-07-02 |
| 1215198148 | Shannon M Vinson | Physician Assistant | 110 N 13th St, Franklin, PA 16323-2312 | 2008-06-23 |
| Street Address |
12118 PARADE PARK PLACE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77047-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528693827 | Gloss Dental | Dentist | 1416 W Orem Dr, Houston, TX 77047 | 2020-03-06 |
| 1093347486 | Kayla A Johnson | Nurse Practitioner | 1540 Summer City Dr, Houston, TX 77047 | 2020-02-04 |
| 1548802432 | Patsy Ward | Technician | 12707 Claygate Dr., Houston, TX 77047 | 2019-10-11 |
| 1245895242 | Chinedu Nwabuona | Pharmacist | 12627 City Village Lane, Houston, TX 77047 | 2019-05-06 |
| 1417422866 | Adetola Adeosun | Occupational Therapist | 11931 Harristown Dr, Houston, TX 77047 | 2018-10-11 |
| 1730694787 | City Park Care Center, LLC | Skilled Nursing Facility | 12262 Cityscape Avenue, Houston, TX 77047 | 2017-12-12 |
| 1033591151 | Latina Baxter | Doula | 2814 Trinity Glen Ln., Houston, TX 77047 | 2015-06-25 |
| 1114336807 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10200 Cullen Blvd, Houston, TX 77047 | 2014-08-06 |
| 1871915363 | Latoya Mitchell | Speech-Language Pathologist | 3027 Westwood Manor Lane, Houston, TX 77047 | 2014-01-17 |
| 1801227665 | Rediate Negash | Nurse Practitioner | 3550 Swingle Rd Ms Bcm 700, Houston, TX 77047 | 2013-12-04 |
| Find all providers in zip 77047 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294494 | Ifeoma Anita Ojukwu | Technician | 10440 South Dr Apt 506, Houston, TX 77099-2809 | 2020-11-01 |
| 1770108730 | Health Heroes Home Care LLC | Technician | 3131 W Bellfort Ave Apt 1111, Houston, TX 77054-5048 | 2020-06-15 |
| 1952940728 | Generations Provider Services LLC | Technician | 12633 Memorial Dr #242 Unit, Houston, TX 77024 | 2019-12-27 |
| 1568000578 | Olasimbo Bode | Technician | 6100 Marinette Dr Apt 1308, Houston, TX 77036-4470 | 2019-12-20 |
| 1639712003 | Credence Homecare LLC | Technician | 14223 Swanfield Dr, Houston, TX 77083-6136 | 2019-10-18 |
| 1033760962 | Atlas Home Care, Inc | Technician | 12000 Richmond Ave Ste 330a, Houston, TX 77082-2431 | 2019-09-23 |
| 1235783911 | Jacqueline Tezeno | Technician | 11575 Pearland Pkwy Apt 10202, Houston, TX 77089-2661 | 2019-07-30 |
| 1053972604 | Built To Rise Incorporation | Technician | 4606 Fm 1960 Rd W Ste 322, Houston, TX 77069-4600 | 2019-06-25 |
| 1023677150 | Premium Home Care Services | Technician | 8627 Connaught Garden Dr, Houston, TX 77083-6032 | 2019-06-12 |
| 1851854400 | Hail Mary Care | Technician | 1005 Candlelight Ln, Houston, TX 77018-2003 | 2019-04-10 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on MR. SHANNON VINSON.
| 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.