MRS. SHANNON MARTIN (NPI# 1952846537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952846537 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MARTIN |
| Credential | LVN |
| Practice Address |
22346 Hawthorn Ave Moreno Valley CA 92553-6988 |
| Mailing Address |
23580 Alessandro Blvd Unit 9307 Moreno Valley CA 92552-6128 |
| Practice Telephone | 9518429579 |
| Mailing Telephone | 9518429579 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 266499 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1114584927 | Shannon Martin | Social Worker | 5600 W Maple Rd Ste 302, West Bloomfield, MI 48322-3700 | 2019-05-28 |
| 1679047690 | Shannon Nicole Martin | Counselor | 7676 Hillmont St Ste 204, Houston, TX 77040-6469 | 2019-01-12 |
| 1477913903 | Shannon E Martin | Nurse Practitioner | 1012 Route 36, Atlantic Highlands, NJ 07716-2469 | 2016-02-25 |
| 1538539531 | Shannon Martin | Psychologist | 1300 Allison St Nw, Washington, DC 20011-4441 | 2015-10-02 |
| 1982818597 | Shannon Martin | Internal Medicine | 830 W. Michigan Avenue, Marshall, MI 49068 | 2007-05-10 |
| 1831203967 | Shannon M Martin | Dentist | 12650 Warwick Blvd, Newport News, VA 23606-2590 | 2006-08-18 |
| 1376579292 | Shannon Rutherford Martin | Chiropractor | 427 S Boston Ave, Suite 515, Tulsa, OK 74103-4141 | 2006-06-23 |
| 1023677762 | Shannon Martin | Counselor | 328 Main St, Southbridge, MA 01550-3794 | 2019-06-06 |
| 1457839185 | Shannon Martin | Pharmacist | 104 S Bryant Ave, Edmond, OK 73034-6327 | 2018-08-03 |
| Street Address |
22346 HAWTHORN AVE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-6988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587639 | Steven Wheeler Knight Thomspon | Licensed Vocational Nurse | 10960 Poppy Field Cir, Moreno Valley, CA 92557-3912 | 2020-10-29 |
| 1144846270 | Cristina Neftali Tinoco | Licensed Vocational Nurse | 12391 Sage Grouse Ln, Moreno Valley, CA 92555-2048 | 2020-06-24 |
| 1932735628 | Elena Mercado | Licensed Vocational Nurse | 13104 Oak Dell St, Moreno Valley, CA 92553-7836 | 2020-03-13 |
| 1477034213 | Jennifer Kago | Licensed Vocational Nurse | 25570 Sierra Calmo Ct, Moreno Valley, CA 92551-2140 | 2018-08-28 |
| 1568976132 | Barinder Hopal | Licensed Vocational Nurse | 27848 Slumber Ln, Moreno Valley, CA 92555-5755 | 2017-11-19 |
| 1568988780 | Florence Kanyua Mwiti | Licensed Vocational Nurse | 27622 Corte Del Sol, Moreno Valley, CA 92555-5924 | 2017-08-18 |
| 1588189351 | Ellinah Kalumu Mutuku | Licensed Vocational Nurse | 27328 Honey Scented Rd, Moreno Valley, CA 92555-4752 | 2017-08-13 |
| 1538684246 | Cynthia Moore | Licensed Vocational Nurse | 15820 Ninya Ave, Moreno Valley, CA 92551-4685 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on MRS. SHANNON MARTIN.
| 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.