Shannon M. Ackerman
Individual provider Active NPI Case Manager/Care Coordinator · Yucca Valley, CA
NPI 1033425699 · NPPES record last updated Aug 20, 2010
Key facts
- NPI
- 1033425699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 58967 Business Center Dr.
Suite C & D
Yucca Valley, CA 92284 - Phone
- (760) 369-3130
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
58967 Business Center Dr.
Suite C & D
Yucca Valley, CA 92284
Mailing address
55475 Santa Fe TRL
Yucca Valley, CA 92284-3117
Other providers in Yucca Valley, CA
- Aaspen Village Care
- Aaspen Village Care
- Aaspen Village Care
- Aaspen Village Care
- Della R. Abraham
- Gilbert Victor Acosta
- Aaron J Adams
- Shameka Letrice Adams
- Advanced Hearing AIDS
- Advanced Women'S Healthcare, a Medical Corporation
All providers in Yucca Valley, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.