Provider Demographics
NPI: | 1083903488 |
---|---|
Name: | GREER, SHAARON DANIELLE (RCP) |
Entity type: | Individual |
Prefix: | MS |
First Name: | SHAARON |
Middle Name: | DANIELLE |
Last Name: | GREER |
Suffix: | |
Gender: | F |
Credentials: | RCP |
Other - Prefix: | MS |
Other - First Name: | S. |
Other - Middle Name: | DANIELLE |
Other - Last Name: | GREER-REYNOLDS |
Other - Suffix: | |
Other - Last Name Type: | Professional Name |
Other - Credentials: | RCP |
Mailing Address - Street 1: | 908 AUDELIA RD |
Mailing Address - Street 2: | SUITE 200-171 |
Mailing Address - City: | RICHARDSON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75081 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 214-777-3120 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 908 AUDELIA RD |
Practice Address - Street 2: | SUITE 200-171 |
Practice Address - City: | RICHARDSON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75081 |
Practice Address - Country: | US |
Practice Address - Phone: | 214-777-3120 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2011-04-06 |
Last Update Date: | 2011-04-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | 28465483 | 172A00000X |
TX | 65498 | 227800000X, 2278E0002X, 2278G0305X, 2278G1100X, 2278P3900X, 2278H0200X, 2278P4000X, 2278S1500X |
246RP1900X, 246W00000X, 2472R0900X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | |
No | 172A00000X | Other Service Providers | Driver | |
No | 2278E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Emergency Care |
No | 2278G0305X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Geriatric Care |
No | 2278G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | General Care |
No | 2278P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Neonatal/Pediatrics |
No | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health |
No | 2278P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Patient Transport |
No | 2278S1500X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | SNF/Subacute Care |
No | 246RP1900X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Phlebotomy |
No | 246W00000X | Technologists, Technicians & Other Technical Service Providers | Technician, Cardiology | |
No | 2472R0900X | Technologists, Technicians & Other Technical Service Providers | Technician, Other | Renal Dialysis |