KRISTIN WARNER SHANNON (NPI# 1013364926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013364926 |
| Entity Type | Individual |
| Full Name | KRISTIN WARNER SHANNON |
| Credential | DNP |
| Practice Address |
6141 N Cicero Ave Chicago IL 60646-4303 |
| Mailing Address |
2740 W Foster Ave Ste 310 Chicago IL 60625-3500 |
| Practice Telephone | 7732938788 |
| Practice Fax Number | 7732938791 |
| Mailing Telephone | 7738788200 |
| Mailing Fax Number | 7732934197 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
209.013832 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.013832 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6141 N CICERO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144457060 | Emily France | Family Medicine | 6141 N Cicero Ave, Chicago, IL 60646 | 2009-06-18 |
| 1811353089 | Jonathan Alvaro | Nurse Practitioner | 6141 N Cicero Ave, Chicago, IL 60646 | 2016-01-04 |
| 1508266776 | Meredith Julia Fils | Physician Assistant | 6141 N Cicero Ave, Chicago, IL 60646-4303 | 2014-08-25 |
| 1023426897 | Meagan Grant | Nurse Practitioner | 6141 N Cicero Ave, Chicago, IL 60646-4303 | 2014-07-24 |
| 1912333675 | Shena Mohan | Physician Assistant | 6141 N Cicero Ave, Chicago, IL 60646-4303 | 2013-09-25 |
| 1205136330 | Stephen James Sawyer | Physician Assistant | 6141 N Cicero Ave, Chicago, IL 60646-4303 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| Find all providers in zip 60646 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285805655 | Marguerite C Vitulski | Nurse Practitioner | 2019 W Irving Park Rd, Chicago, IL 60618-3909 | 2008-03-13 |
| 1992293799 | Christine Young Jung | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-04-26 |
| 1518498971 | Ray Goodwin | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2017-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124521497 | Helen J Castro | Nurse Practitioner | 2524 Walnut St, Waukegan, IL 60087-3123 | 2018-03-13 |
| 1194936500 | Olga Amusina | Nurse Practitioner | 815 Glenview Rd., Highland Park, IL 60035 | 2007-05-25 |
| 1336765064 | Mohammed Nabeel Hameed | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-06-18 |
| 1629699616 | Tiffany Ann Via | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-04-30 |
| 1174166581 | Sarah Elizabeth Colon | Nurse Practitioner | 5000 S 5th Ave, Hines, IL 60141-3030 | 2019-10-18 |
| 1942857735 | Jessica Oranika | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-26 |
| 1679075022 | Kyle Edward May | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2018-03-01 |
| 1073030938 | Kathryn Ann Becker | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2017-08-23 |
| 1336501824 | Ernest John Emery | Nurse Practitioner | 801 S Washington St, Naperville, IL 60540-7430 | 2016-03-23 |
| 1619352036 | Rhonda Scott-diltz | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.