Shannon Shanell Adams

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

1150 Mount Olivet Rd
Martinsville, VA 24112-6033

Phone

(276) 634-7388

Fax

(276) 632-7693

NPI assigned

Oct 12, 2015

Last updated

Oct 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Shannon Shanell Adams Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Assail Health Care

  • Case Management Agency
  • Martinsville, VA
  • NPI 1811449630
  Authorized official Same address or phone

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1073984449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MOUNT OLIVET RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126033",
            "telephone_number": "276-634-7388",
            "fax_number": "276-632-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MOUNT OLIVET RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126033",
            "telephone_number": "276-634-7388",
            "fax_number": "276-632-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHANNON",
        "middle_name": "SHANELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178641319",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "ADAMS",
            "middle_name": "SHANELL",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Accredited Community Services
• Acculab Plus LLC
• Acme Squared Therapies Company
• Acme Therapies Co
• Lou Ann Adams
• Adult Day Care Center of Martinsville & Henry County
• Aesthetic & Family Dental of Martinsville PC
• Asma Afzal, MD
• Harshita Aggarwal
• Ahmad T. Haq, M.D., P.C.

• Home Modifications Contractor in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Home Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.