Shannon Nicole Rousselo, RRT

Primary specialty

Pulmonary Function TechnologistTaxonomy code 225B00000X

Practice address

11201 Benton St
Loma Linda, CA 92357-1000

Phone

(909) 825-7084

NPI assigned

May 21, 2013

Last updated

May 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1043656762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 E 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865427",
            "telephone_number": "909-333-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSELO",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jonathan Rossie
• Hannah Frances Rossie, FNP-C
• William G Roth, PHD
• Eleni D Roumanas, DDS
• Glenn Rouse, M.D.
• David Row, M.D.
• Hannah Cho-Hyuna Row, MD
• Alexis Diane Rowe
• Edward H Rowsell, M.D.
• Yelena Rubinchikova, D.O.

• Pulmonary Function Technologist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Pulmonary Function Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.