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Shannon Moss

Homemaker β€’ Canton, OH

Active NPI 1639610561 Individual Practitioner Female Practitioner
Practice location in NPPES

746 Marion Ave Sw
Canton, OH 447074371

Call 3303130919 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

746 Marion Ave Sw

Canton, OH 447074371

Telephone 3303130919

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

114 active clinicians are listed under Homemaker with a practice address in Canton, OH (6,879 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 114 clinicians have the CMS telehealth indicator.

0% of these 114 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-11-10
Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2551877 (OH)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 03, 2020

Recorded as SHANNON MOSS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2020

Homemaker

βœ…
NPI Profile Active March 11, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 11, 2017

Registered at 746 MARION AVE SW, CANTON, OH 447074371 (Tel: 3303130919)

πŸ“
Business Mailing Address (Initial Record) March 11, 2017

Registered at 746 MARION AVE SW, CANTON, OH 447074371 (Tel: 3303130919)

πŸ‘€
Provider Name / Credentials (Initial Record) March 11, 2017

Recorded as SHANNON LACKEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2017

Day Training, Developmentally Disabled Services (license number reported to NPPES: OH 3018853)

🟒
Initial NPI Registration & Enumeration March 11, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639610561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2017
Last Update: December 03, 2020
Sole Proprietor: Yes

Mailing Address

746 Marion Ave Sw

Canton, OH 447074371

Phone: 3303130919

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.