Shannon Rae Pippin

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

5512 37TH Ave E
Bradenton, FL 34208-6825

Phone

(352) 209-6884

NPI assigned

Sep 5, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1003064858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 37TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086825",
            "telephone_number": "352-209-6884",
            "fax_number": "941-487-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 37TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086825",
            "telephone_number": "352-209-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "SHANNON",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000471100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006703300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Pinkston, APRN
• Pinnacle Dental, Inc
• Pinnacle Medical Group PA
• Pinnacle Physician Network, LLC
• Cassidy Pintozzi
• Amanda Leigh Pirchner, M.S., CCC-SLP
• Kelly D Pireaux, RPH
• Angela Marie Pirkle-Labor, RN
• Anthony T Pizzo, M.D.
• Joseph T M Placheril, MD

• Developmental Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.