Active NPI
Parissha Shannon, PARISSHA SHANNON
- Home Modifications Contractor
- Avon, OH
National Provider Identifier
1740569466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 401165071110
- Practice address
- 1581 Rosewood Blvd
D3
Avon, OH 44011-4029 - Phone
- (440) 258-3076
- NPI assigned
- Aug 11, 2011
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 401165071110 | OH | Primary |
Addresses
Primary practice location
1581 Rosewood Blvd
D3
Avon, OH 44011-4029
Mailing address
1581 Rosewood Blvd
D3
Avon, OH 44011-4029
Phone (440) 258-3076
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401165071110 | OH | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1740569466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1581 ROSEWOOD BLVD",
"address_2": "D3",
"city": "AVON",
"state": "OH",
"postal_code": "440114029",
"telephone_number": "440-258-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1581 ROSEWOOD BLVD",
"address_2": "D3",
"city": "AVON",
"state": "OH",
"postal_code": "440114029",
"telephone_number": "440-258-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "PARISSHA",
"name_prefix": "Miss",
"credential": "PARISSHA SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "OH",
"license": "401165071110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.