Shannon Holman in Las Vegas - Pediatrics

Shannon Holman - NPI 1275620270

Shannon Holman is a Pediatrics in Las Vegas, Nevada. Shannon Holman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shannon Holman is 1275620270. The last update date is 2022-06-01.

Shannon Holman's current location address is 2449 N Tenaya Way Unit 34991, Las Vegas, Nevada. You can contact this provider via phone number 7029709242. The mailing address for Shannon Holman is 2449 N Tenaya Way Unit 34991, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Holman
Address 2449 N Tenaya Way Unit 34991, Las Vegas, Nevada
Phone Number 7029709242
Fax Number
Sole Proprietor Y
Credentials OTR/L, BCP

NPI Number Detail

NPI Number 1275620270
Provider Enumeration Date 2006-10-10
Last Updated Date 2022-06-01

Provider Mailing Address Detail

Address 2449 N Tenaya Way Unit 34991
City Las Vegas
State Nevada (NV)
Post Code 891289995
Phone Number 7029709242
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 225Xp0200X
Licence No 46
Definition:
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3402345 NV --

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FAQs about Shannon Holman

What is the unique identifier code issued to Shannon Holman by the Centers for Medicare & Medicaid Services (CMS)?

The Shannon Holman has been assigned the NPI (National Provider Identifier) 1275620270. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Shannon Holman's facilities are situated?

The facilities of Shannon Holman are physically located at the following address: 2449 N Tenaya Way Unit 34991, Las Vegas, NV, 891289995.

What is Shannon Holman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shannon Holman is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 225Xp0200X.

On what date did the Shannon Holman receive its 1275620270 assignment from the Centers for Medicare & Medicaid Services?

The Shannon Holman was assigned its 1275620270 by the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the information regarding Shannon Holman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Shannon Holman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-06-01.

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