MEDICARE: SHANNON RYAN CNIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number	:	1205562287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON RYAN CNIM

Provider Business Mailing Address
First Line	:	255 NE 3RD AVE APT 2316
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3749
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 NE 3RD AVE APT 2316
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3749
Country	:	US
Telephone Number	:	734-748-0837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2022
Last Update Date	:	03/21/2024

Similar Medicare Providers

1588845028 — DR. NATHANIEL RAY MCELHANEY MD
Practice Location Address:

10301 HAGEN RANCH RD STE A960
BOYNTON BEACH, FL
33437-3749

Practice Phone: 561-955-4220
Practice Fax: 833-626-1924

1316221435 — JCP MEDICAL PA
Practice Location Address:

3749 NE 163RD ST
NORTH MIAMI BEACH, FL
33160-4104

Practice Phone: 305-420-5229
Practice Fax: 786-207-2668

1558928069 — LAPORSCHE T MORRIS
Practice Location Address:

3749 GEORGIA AVE
WEST PALM BEACH, FL
33405-2147

Practice Phone: 561-876-4121
Practice Fax:

1497690093 — MURRAY HEALTHCARE CONSULTING LLC
Practice Location Address:

224 SW 15TH AVE
DELRAY BEACH, FL
33444-1552

Practice Phone: 737-287-3554
Practice Fax:

1407178858 — DR. SUSAN RAE BASKIN M.D.
Practice Location Address:

205 NE 5TH TER
DELRAY BEACH, FL
33444-3866

Practice Phone: 561-667-0987
Practice Fax:

1851235097 — KELLY GOLDSTEIN
Practice Location Address:

2910 BOBOLINK RD
DELRAY BEACH, FL
33444-1829

Practice Phone: 954-608-8934
Practice Fax:

Directions to “ SHANNON RYAN CNIM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.