Organization Active NPI

Shannon Anson

  • Case Management Agency
  • Lousiville, KY
National Provider Identifier
1053727610
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SHANNON ANSON
Practice address
3001 Taylor Springs Drive
Lousiville, KY 40220
Phone
(502) 819-6023
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Mrs. Shannon Anson, B.S.
Title
Target Case Management
Phone
(502) 819-6023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3001 Taylor Springs Drive
Lousiville, KY 40220

Mailing address

3210 South Winchester Acres
Lousiville, KY 40223
Phone (502) 819-6023

Other identifiers 1

IdentifierTypeStateIssuer
171M0000XMedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1053727610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SOUTH WINCHESTER ACRES",
            "city": "LOUSIVILLE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "502-819-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 TAYLOR SPRINGS DRIVE",
            "city": "LOUSIVILLE",
            "state": "KY",
            "postal_code": "40220",
            "telephone_number": "502-819-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON ANSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "ANSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "TARGET CASE MANAGEMENT",
        "authorized_official_telephone_number": "502-819-6023",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M0000X",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lousiville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.