Shannon V Barnes, LICENSED COSMETOLOGI

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CL1250034 Issued in FL

Practice address

1205 South Park Avenue
Sanford, FL 32771-2853

Phone

(386) 795-2042

NPI assigned

Mar 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1215399837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WATERFALL CIRCLE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327259227",
            "telephone_number": "386-795-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SOUTH PARK AVENUE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712853",
            "telephone_number": "386-795-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "SHANNON",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LICENSED COSMETOLOGI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "CL1250034",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "CL1250034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Balint
• Valentina Balogh, APRN
• Wesley Baltimore, M.S., CCC-SLP
• Shantil S Barber, RBT
• Chelsea Barbosa, LPC
• Traci Renee Barnes
• Donald Wayne Barnett Sr.
• Lauren Clark Barnhart, APRN
• Angela Barriner
• Sandra Boatemaa Barrington

• Prosthetist in Sanford, FL
• Providers in Sanford, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.