Shannon Mumper, OT is a
Specialist based in Boone, North Carolina. Shannon Mumper is licensed to practice in North Carolina (license number 13474) and her current practice location is
450 New Market Blvd Ste 3, Boone, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(828) 355-9584.
NPI number for Shannon Mumper is 1619580594 and her current mailing address is 450 New Market Blvd Ste 3, Boone, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619580594.
Healthcare Provider's Profile
Full Name | Shannon Mumper |
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Gender | Female |
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Speciality | Specialist |
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Location | 450 New Market Blvd Ste 3, Boone, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619580594
- Provider Enumeration Date: 08/28/2020
- Last Update Date: 03/11/2021
Medical Identifiers
Medical identifiers for Shannon Mumper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619580594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | 13474 (North Carolina) | Secondary |
174400000X | Specialist | 13474 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Mumper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Mumper, OT 450 New Market Blvd Ste 3, Boone, NC 28607-5501 Ph: () - | Shannon Mumper, OT 450 New Market Blvd Ste 3, Boone, NC 28607-5501 Ph: (828) 355-9584 |
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