SHANNON GREAVES (NPI# 1154887214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154887214 |
| Entity Type | Individual |
| Full Name | SHANNON GREAVES |
| Other Name | SHANNON GREAVES |
| Credential | FNP |
| Practice Address |
6565 France Ave S Ste 101 Edina MN 55435-2154 |
| Practice Telephone | 6529200092 |
| Mailing Telephone | 6529200092 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21994 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6565 FRANCE AVE S STE 101 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799323 | Northern Cardiovascular Clinic, Pa | Clinic/Center | 6565 France Ave S Ste 101, Edina, MN 55435-2154 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1215095435 | Kristie J Anderson | Nurse Practitioner | 6905 York Ave S, Edina, MN 55424 | 2006-12-04 |
| 1154494029 | Debra Lynn Shaw | Nurse Practitioner | 3400 West 66th Street, Suite 290, Edina, MN 55435 | 2006-11-16 |
| 1861483257 | Diana Brooke Czel | Nurse Practitioner | 6545 France Ave S Ste 210, Edina, MN 55435-2281 | 2005-11-03 |
| 1598759193 | Christina Marie Braatz | Nurse Practitioner | 7505 Metro Blvd Ste 400, Edina, MN 55439 | 2005-09-09 |
| 1134779853 | Vanesha Vasian Gordon-king | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-14 |
| 1992355937 | Amal Said | Nurse Practitioner | 7000 York Ave S, Edina, MN 55435-4213 | 2019-09-11 |
| 1225683618 | Dawn Blindauer | Nurse Practitioner | 6905 York Ave S, Edina, MN 55435 | 2019-08-03 |
| 1043793144 | Stephanie Lynae Gulbranson | Nurse Practitioner | 6545 France Ave S, Edina, MN 55435-2131 | 2018-09-13 |
| 1922585983 | Bertina Lovine Haug | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2018-07-23 |
| Find all providers in EDINA | ||||
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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.