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Shannon Stallworth, L.M.T,NCTMB
NPI 1013190297 · Specialist · Mattoon, IL
Shannon Stallworth, L.M.T,NCTMB is a Specialist provider in Mattoon, IL (NPI 1013190297).
Provider details
- NPI number
- 1013190297
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- L.M.T,NCTMB
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
921 Lake Land Blvd
Mattoon, IL 61938-5521
Phone: (217) 235-3100
Street-level locationGet directions
Mailing address
921 Lake Land Blvd
Mattoon, IL 61938-5521
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2007-12-11
Frequently asked questions
- What is Shannon Stallworth's NPI number?
- Shannon Stallworth's National Provider Identifier (NPI) is 1013190297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Stallworth's specialty?
- Shannon Stallworth is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Shannon Stallworth located?
- Shannon Stallworth's practice location on file with NPPES is 921 Lake Land Blvd, Mattoon, IL 61938-5521.
- What is Shannon Stallworth's phone number?
- The practice phone number listed in the NPPES registry for Shannon Stallworth is (217) 235-3100.
- Is Shannon Stallworth's NPI active?
- Yes — Shannon Stallworth's NPI (1013190297) is active in the NPPES registry as of the last update on 2007-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.