Shanna Marie Hall

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5663 S Laburnum Ave
Henrico, VA 23231-4418

Phone

(804) 737-3917

NPI assigned

May 21, 2018

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.

• Civitas Health Services, Inc.

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1366727984
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1821589300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 WALDO LN",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285144",
            "telephone_number": "804-442-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 S LABURNUM AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232314418",
            "telephone_number": "804-737-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHANNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Hahn
• Scott Robert Haines, M.D.
• Abigail Compton Hall
• Alison Marie Hall, NP-C
• Lisa Therese Hall, MA, CCC-SLP
• Sonja Hamlin, M.A., CCC-SLP
• Amy Rebecca Hammond
• Rena Justine Hamzey, DMD
• Thomas Han, DDS
• Hand in Hand United

• Behavior Technician in Henrico, VA
• Providers in Henrico, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.