Shannon Greene, R. EEG T., CLTM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

1819 Jay Ell Dr
Richardson, TX 75081-2063

Phone

(888) 344-2947

NPI assigned

Sep 26, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

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

• Axis Neuromonitoring

  • Electroneurodiagnostic Specialist/Technologist
  • Richardson, TX
  • NPI 1093013310
  NPD (past)
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Gatlinburg, TN
  • NPI 1023621646
  NPD (past)

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1407635774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11206 UNIVERSITY AVE APT 204",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794236194",
            "telephone_number": "612-570-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 JAY ELL DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812063",
            "telephone_number": "888-344-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "SHANNON",
        "credential": "R. EEG T., CLTM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Green, CNIM
• David Warner Green, M.D.
• Nia Green
• Darielle Greenberg, PSY.D.
• Stephanie H. Greenberg, M.S., LPC, LCDC
• Greenline Medical PLLC
• Shaaron Danielle Greer, RCP
• Ladasha Danelle Gregory
• Alanjon Griffin, CNIM
• Elizabeth Ann Griffin, B.A.

• Electroneurodiagnostic Specialist/Technologist in Richardson, TX
• Providers in Richardson, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.