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SHANON HASKINS
NPI 1104364793
Recreation Therapist in Grand Rapids, MI

Active since February 03, 2017
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 940-0040 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shanon Haskins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANON HASKINS (NPI 1104364793) is an individual recreation therapist in Grand Rapids, Michigan, licensed in Michigan (56956) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1104364793
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameSHANON HASKINS
Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336
Mailing Address3320 Pine Meadow Dr Se, Apt 103Kentwood, MI 49512-3079 · (616) 617-2622
Phone(616) 940-0040
Sole ProprietorNo
Enumeration DateFebruary 3, 2017
✔ NPI 1104364793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in MI · 56956
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
1490 E BELTLINE AVE SE, Grand Rapids, MI 49506
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD KEITH SMEDLEY RMA
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
SAMANTHA KAY RASTALL
Behavior Technician
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 248-5205
JENNIFER JOHNSON
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (000) 000-0000
MRS. KWANYAH SEAWOOD SANDIFER
Licensed Practical Nurse
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
DEVAN ALEXIS COURTLAND
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (855) 407-7575
JULIE DALTON
Rehabilitation Practitioner
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
BRITTENY JEAN ALDRICH
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 788-5955
DANIELLE SUZANNE DETTMANN
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (269) 804-2828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanon Haskins's NPI number?

The NPI number for Shanon Haskins is 1104364793. It was assigned to this individual provider in the NPPES registry on February 3, 2017.

Where is Shanon Haskins located?

Shanon Haskins practices at 1490 E Beltline Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 940-0040.

What is Shanon Haskins's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Shanon Haskins was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.