| Shannon Hooper, AGNP | |
|
1 Hoag Dr Bldg 41, Newport Beach, CA 92663-4162 | |
| (714) 764-4060 | |
| Not Available |
| Full Name | Shannon Hooper |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1 Hoag Dr Bldg 41, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700535051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RNP273572 (Arizona) | Primary |
| 163WX0200X | Registered Nurse - Oncology | 439112 (Ohio) | Secondary |
| Entity Name | Banner Cancer Center Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Hooper, AGNP 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 Ph: (480) 256-6444 | Shannon Hooper, AGNP 1 Hoag Dr Bldg 41, Newport Beach, CA 92663-4162 Ph: (714) 764-4060 |
Mrs. Kena Gunter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2071 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 949-759-1720 | |
Ms. Kay R Collier, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Hospital Rd Ste 401, Newport Beach, CA 92663 Phone: 949-642-6787 Fax: 949-642-4833 | |
Michael Nash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-764-8376 | |
Olivia Taylor Defilippo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 | |
Miki Stacy Ohata, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663 Phone: 949-478-8858 | |
Danica Jane Labar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4060 Campus Dr Ste 130, Newport Beach, CA 92660 Phone: 949-463-8651 | |
Diana Joan Munro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Superior Ave Ste 205, Newport Beach, CA 92663 Phone: 949-764-1843 |