Provider Demographics
| NPI: | 1083903488 |
|---|---|
| Name: | GREER, SHAARON DANIELLE (RCP) |
| Entity type: | Individual |
| Prefix: | MS |
| First Name: | SHAARON |
| Middle Name: | DANIELLE |
| Last Name: | GREER |
| Suffix: | |
| Gender: | F |
| Credentials: | RCP |
| Other - Prefix: | MS |
| Other - First Name: | S. |
| Other - Middle Name: | DANIELLE |
| Other - Last Name: | GREER-REYNOLDS |
| Other - Suffix: | |
| Other - Last Name Type: | Professional Name |
| Other - Credentials: | RCP |
| Mailing Address - Street 1: | 908 AUDELIA RD |
| Mailing Address - Street 2: | SUITE 200-171 |
| Mailing Address - City: | RICHARDSON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75081 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 214-777-3120 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 908 AUDELIA RD |
| Practice Address - Street 2: | SUITE 200-171 |
| Practice Address - City: | RICHARDSON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75081 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 214-777-3120 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2011-04-06 |
| Last Update Date: | 2011-04-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| PA | 28465483 | 172A00000X |
| TX | 65498 | 227800000X, 2278E0002X, 2278G0305X, 2278G1100X, 2278P3900X, 2278H0200X, 2278P4000X, 2278S1500X |
| 246RP1900X, 246W00000X, 2472R0900X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | |
| No | 172A00000X | Other Service Providers | Driver | |
| No | 2278E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Emergency Care |
| No | 2278G0305X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Geriatric Care |
| No | 2278G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | General Care |
| No | 2278P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Neonatal/Pediatrics |
| No | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health |
| No | 2278P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Patient Transport |
| No | 2278S1500X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | SNF/Subacute Care |
| No | 246RP1900X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Phlebotomy |
| No | 246W00000X | Technologists, Technicians & Other Technical Service Providers | Technician, Cardiology | |
| No | 2472R0900X | Technologists, Technicians & Other Technical Service Providers | Technician, Other | Renal Dialysis |