Shannon Michelle Reilly

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

24 Hollis Ave Apt 2R
Quincy, MA 02171-2361

Phone

97888688505

NPI assigned

Sep 12, 2017

Last updated

Sep 12, 2017By the provider in NPPES

Sex

Female

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1720507700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOLLIS AVE APT 2R",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712361",
            "telephone_number": "97888688505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOLLIS AVE APT 2R",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712361",
            "telephone_number": "97888688505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalla Reid Barnes
• Marcia Euphazine Reid-Gordon
• Denise Reid
• Julianne Reilly
• Kelly Reilly
• Jesse Reisner, DO
• Annalisa Passalacqua Rekowski
• Roberta M Rello, B.A.
• Xinping Ren, M.D.
• Carol Renaud, LICSW

• Community/Behavioral Health Agency in Quincy, MA
• Providers in Quincy, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.