Alexandria Nicole Shannon
Developmental Therapist in Springdale, AR. Individual provider (NPI-1).
Details
- NPI
- 1821706508
- Entity type
- Individual (NPI-1)
- Name
- Alexandria Nicole Shannon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2022
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
2210 Main DrSpringdale, AR 72762-6802
Phone 479-856-6397 · Fax 479-856-6412
Mailing address
Po Box 130Rogers, AR 72757-0130
Phone 479-856-6397 · Fax 479-856-6412
Other practice locations
Rogers, AR 72756-6816
Phone 479-986-5150 · Fax 479-986-5191
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Developmental Therapist providers in Springdale, AR
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All 13 Developmental Therapist providers in Springdale · All 2,877 providers in Springdale
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