Shannon Thebado
Nurse Practitioner, Psych/Mental Health in Brockton, Massachusetts
1821801135- Practice location
- 231 Main St Fl 3, Brockton, MA 02301-4342
- Phone
- 508-586-2660
- Fax
- —
- Last updated
- January 30, 2025
Shannon Thebado is a Nurse Practitioner, Psych/Mental Health based in Brockton, MA. Shannon Thebado practices in Brockton, MA. The NPI Number for Shannon Thebado is 1821801135 and holds a License No. RN2330456 (MA). The current practice location address for Shannon Thebado is 231 Main St Fl 3, Brockton, MA 02301-4342 and can be reached out via phone at 508-586-2660.
Provider Profile Details
- NPI Number
- 1821801135
- Provider Name
- Shannon Thebado
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 231 Main St Fl 3, Brockton, MA 02301-4342
- Phone Number
- 508-586-2660
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 30, 2025
- Last Update Date
- January 30, 2025
- Certification Date
- January 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 231 Main St Fl 3
Brockton, MA 02301-4342 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-4342
- Phone Number
- 508-586-2660
Provider Business Mailing Address Details
- Address
- 315 Canton St
Stoughton, MA 02072-2205 - City
- Stoughton
- State
- MA
- Zip
- 02072-2205
- Phone Number
- 617-702-6947
License Information
- License Number
- RN2330456
- License State
- MA
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shannon Thebado?
The NPI number of Shannon Thebado is 1821801135. It was assigned on January 30, 2025 and is currently active in the NPPES registry.
What is the specialty of Shannon Thebado?
Shannon Thebado is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2330456.
Where does Shannon Thebado practice?
The practice location is 231 Main St Fl 3, Brockton, MA 02301-4342. The office can be reached at 508-586-2660 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821801135 directly on the NPPES registry website.