Shanna M. Molina MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SHANNA M. MOLINA MD PLLC

Practice address

900 SE 5TH St Ste 22 PMB #7
Bentonville, AR 72712-6090

Phone

(479) 326-8753

Fax

(479) 224-2269

NPI assigned

Apr 20, 2012

Organization subpart

No

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

Authorized official

Name

Shanna Marie Boyce, MD

Title

Physician Owner

Phone

(479) 444-5048

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1437416930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WOODLAND ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727456011",
            "telephone_number": "479-326-8753",
            "fax_number": "479-224-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE 5TH ST STE 22 PMB #7",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126090",
            "telephone_number": "479-326-8753",
            "fax_number": "479-224-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNA M. MOLINA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "479-444-5048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanie Ray Shade, LCSW
• Karl David Shade
• Kathryn M Shaffer, LPC
• Shamsul Alam MD PA (The Kidney Clinic)
• Tiffany Lynn Shanahan, NP-C
• Shannon Candid Arkansas, P.a.
• John Lark Shasteen, LCSW
• Ayesha Shaukat, RPH
• Kerri Shaw, M.S., CCC-SLP
• Lisa Shaw

• Psychiatry Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.