Shanon R. Pennington

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHANON R. PENNINGTON

Practice address

125 Breakwater Bay
Hermitage, TN 37076-3675

Phone

(615) 414-8195

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Shanon R Pennington, M.A., BCBANPI 1245788116

Title

Bcba

Phone

(615) 414-8195

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanon Pennington

  • Behavior Analyst
  • Hermitage, TN
  • NPI 1245788116
  NPD Authorized official

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821515446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BREAKWATER BAY",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763675",
            "telephone_number": "615-414-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BREAKWATER BAY",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763675",
            "telephone_number": "615-414-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANON R. PENNINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "SHANON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "615-414-8195",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245788116",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma Victoria Sellers, FNP-C
• Lindsey N Selves, PHARM. D.
• Aneri Shah, DPT
• Ronak Navin Shah, MD
• Ali Shahosseini, PHARMD
• Bryan Sharpe, MD
• Michael Craig Shaub, DC
• Rachel K. Shayne, BCBA
• Mollie Sheppard, MS, BCBA
• Roger P Sherman, MD

• Behavior Analyst in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.