Shannon Nicole Beauty

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SHANNON NICOLE BEAUTY

Practice address

239 Fourth Avenue Ste 1401 #1462
Pittsburg, PA 15222

Phone

(516) 418-4201

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Shannon Parker

Title

Owner

Phone

(516) 418-4201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1104423714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 S LAMBERT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453503",
            "telephone_number": "516-418-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 FOURTH AVENUE STE 1401 #1462",
            "city": "PITTSBURG",
            "state": "PA",
            "postal_code": "15222",
            "telephone_number": "516-418-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON NICOLE BEAUTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-418-4201"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald James Kettinger, CRNA
• Margit Gyongyi Lozano, PA-C
• Mariama Mansaray
• Gautam M Nayar, M.D.
• Marco Louis Pilotta, DMD
• James M Tobin, DMD
• Donnah C Vance, CCMHC
• Warby Parker Inc.

• Customized Equipment (DME) in Pittsburg, PA
• Providers in Pittsburg, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.