Shannon D Pollock

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

191 E 2ND St
Xenia, OH 45385-3448

Phone

(937) 532-6936

NPI assigned

Oct 13, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1336747393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E 2ND ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853448",
            "telephone_number": "937-532-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E 2ND ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853448",
            "telephone_number": "937-532-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "SHANNON",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PNP Recovery
• PNP Recovery
• Raine Poland
• James Polland
• Kaitlyn Pollock, D.O.
• Diane Arlene Ponder
• Ganna Popova, CNP-C
• Kasey Porter
• Katherine J Porter, SLP
• Shakia Porter

• In Home Supportive Care Agency in Xenia, OH
• Providers in Xenia, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.