IMANI L SHANNON
NPI 1801671177
Driver in Stockton, CA

Active since August 25, 2023
1919 GRAND CANAL BLVD, STOCKTON, CA 95207(415) 423-4476 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imani L Shannon NPPES

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

IMANI L SHANNON (NPI 1801671177) is an individual driver provider in Stockton, California, licensed in California (F7077821) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1801671177
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameIMANI L SHANNON
Location Address1919 GRAND CANAL BLVDStockton, CA 95207-8135
Mailing Address1919 Grand Canal BlvdStockton, CA 95207-8135 · (415) 423-4476
Sole ProprietorNo
Enumeration DateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
NPI 1801671177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in CA · F7077821
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
1919 GRAND CANAL BLVD, Stockton, CA 95207

Other Providers at the Same Location NPPES 4

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

Durable Medical Equipment & Medical Supplies (Customized Equipment)
1919 GRAND CANAL BLVD, SUITE C4
STOCKTON, CA 95207
Occupational Therapist (Hand)
1919 GRAND CANAL BLVD, SUITE C4
STOCKTON, CA 95207
Occupational Therapist (Hand)
1919 GRAND CANAL BLVD, SUITE C-4
STOCKTON, CA 95207
Driver
1919 GRAND CANAL BLVD
STOCKTON, CA 95207

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 Imani Shannon's NPI number?

The NPI number for Imani Shannon is 1801671177. It was assigned to this individual provider in the NPPES registry on August 25, 2023.

Where is Imani Shannon located?

Imani Shannon practices at 1919 Grand Canal Blvd, Stockton, CA 95207. The listed phone number is (415) 423-4476.

What is Imani Shannon's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Imani Shannon was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.