SHANNON D. BALL – NPI #1639982705
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

SHANNON BALL is a peer specialist located in MEDFORD, OR. NPPES has assigned the NPI number 1639982705 to SHANNON BALL on January 30, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for SHANNON BALL below.

NPI Profile for
SHANNON D. BALL

NPI Number
1639982705
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHANNON D. BALL
Primary location
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone: (541) 476-2373 Fax:
Mailing address
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.