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SHANNON STALLONE
NPI 1104517119
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since May 19, 2023
1330 LINCOLN AVE STE 201, SAN RAFAEL, CA 94901(415) 459-5999 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Stallone NPPES

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

SHANNON STALLONE (NPI 1104517119) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1104517119
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON STALLONE
Location Address1330 LINCOLN AVE STE 201San Rafael, CA 94901-2142
Mailing Address1 Pueblo DrSan Rafael, CA 94903-1523
Phone(415) 459-5999
Sole ProprietorNo
Enumeration DateMay 19, 2023
NPPES CertifiedMay 19, 2023
✔ NPI 1104517119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1330 LINCOLN AVE STE 201, San Rafael, CA 94901
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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.

JESSICA SANANES
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
FRANCES CAMERON
Marriage & Family Therapist
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
PRISCILLE SCHWARCZ-BESSON
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
MS. ANITA WHITELEY
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
KRISTIN ANDERSEN
Counselor (Mental Health)
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
MICHAEL KILIVRIS
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
KATALIN SZABO
Rehabilitation Counselor
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999
JOSEPHINE SINGER PELTZ
Student in an Organized Health Care Education/Training Program
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901
Marin County (415) 459-5999

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 Shannon Stallone's NPI number?

The NPI number for Shannon Stallone is 1104517119. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Shannon Stallone located?

Shannon Stallone practices at 1330 Lincoln Ave Ste 201, San Rafael, CA 94901. The listed phone number is (415) 459-5999.

What is Shannon Stallone's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Stallone was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.