Active NPI
Shannon Christian
- Nurse's Aide
- Conyers, GA
National Provider Identifier
1326757675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 196 W Meadow LN SW
Conyers, GA 30012-6427 - Phone
- (770) 679-1079
- Fax
- (470) 207-7140
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
196 W Meadow LN SW
Conyers, GA 30012-6427
Mailing address
196 W Meadow LN SW
Conyers, GA 30012-6427
Phone (770) 679-1079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2931437 | Other | GA | AMERICAN MEDICAL TECHNOLOGISTS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shannonchristian@direct.practicefusion.com | Conyers Walk In Clinic |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- shannonchristian@direct.practicefusion.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1326757675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 W MEADOW LN SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300126427",
"telephone_number": "770-679-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 W MEADOW LN SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300126427",
"telephone_number": "770-679-1079",
"fax_number": "470-207-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN MEDICAL TECHNOLOGISTS",
"identifier": "2931437",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shannonchristian@direct.practicefusion.com",
"affiliation": "Y",
"affiliationName": "Conyers Walk In Clinic",
"address_1": "196 W Meadow Ln SW",
"city": "Conyers",
"state": "GA",
"country_code": "US",
"postal_code": "300126427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.