PATRICIA SHANNON


Address: 151 N Main St, Decatur, IL 62523
Phone: 2173626262

PATRICIA SHANNON (NPI# 1174049209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174049209
Entity Type Individual
Full Name PATRICIA SHANNON
Practice Address 151 N Main St
Decatur
IL 62523
Mailing Address 151 N Main St
Decatur
IL 62523-1206
Practice Telephone 2173626262
Enumeration Date 2017-08-21
Last Update Date 2017-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 043042053 IL Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 1639231731 05

Other Providers PATRICIA SHANNON

NPI Name Taxonomy Address Enumeration
1942853999 Patricia Anne Shannon Social Worker 6850 Meade St, Wellington, CO 80549-2274 2019-07-18
1144353996 Patricia Ann Shannon Occupational Therapist 656 Fern St, Yeadon, PA 19050-3318 2007-03-13
1538724265 Patricia Ann Shannon Physician Assistant 6355 Walker Ln Ste 507, Alexandria, VA 22310-3251 2019-05-08
1629240205 Patricia A Shannon Counselor 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 2008-03-24
1992895742 Patricia Ann Shannon Nurse Practitioner 16620 N 40th St, Ste B-4, Phoenix, AZ 85032-3348 2006-10-13
1053419796 Patricia Jean Shannon Psychologist 3133 Hennepin Ave, Minneapolis, MN 55408-2620 2006-09-20
1558381244 Patricia Shannon Internal Medicine 45 Foster Rd, Hopewell Junction, NY 12533-6123 2006-07-19
1831129709 Patricia Shannon Physical Medicine & Rehabilitation 1100 Blythe Blvd, Charlotte, NC 28203-5814 2006-07-04

Office Location

Street Address 151 N MAIN ST
City DECATUR
State IL
Zip Code 62523

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063029361 Heritage Behavioral Health Cent Opt Clinic/Center 151 N Main St, Decatur, IL 62523-1206 2020-09-30
1881217206 William Jihan Counselor 151 N Main St, Decatur, IL 62523-1206 2020-05-20
1053934471 Jasmine M Kaylor Counselor 151 N Main St, Decatur, IL 62523-1206 2020-05-20
1891318218 Andrea L Mccoy Counselor 151 N Main St, Decatur, IL 62523-1206 2020-05-20
1366065989 Lindsay M Orlowski Counselor 151 N Main St, Decatur, IL 62523-1206 2020-05-19
1578186185 Whitley B Hofer Counselor 151 N Main St, Decatur, IL 62523-1206 2020-05-19
1760003586 Megan R Markwell Registered Nurse 151 N Main St, Decatur, IL 62523-1206 2020-05-04
1316568132 Erin Taylor Registered Nurse 151 N Main St, Decatur, IL 62523-1206 2020-05-04
1902427982 Latasha L Patton Licensed Practical Nurse 151 N Main St, Decatur, IL 62523-1206 2020-05-01
1710508692 Tayler J Dance Licensed Practical Nurse 151 N Main St, Decatur, IL 62523-1206 2020-05-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548763238 Community Health Improvement Center Clinic/Center 1027 N Water, Decatur, IL 62523 2018-03-09
1093091597 Leesa K Reed Social Worker 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 2011-10-27
1407001357 Pamela Sue Waterman Counselor 720 E. Wood St., Decatur, IL 62523 2008-11-19
1639231731 Heritage Behavioral Health Center Inc. Clinic/Center 151 N Main Street, Decatur, IL 62523 2006-12-14
1669561080 Diane S Pleasant Counselor 335 E Wood St Ste B, Decatur, IL 62523 2006-10-12
1376642470 Gudrun Birgitta Armentrout Marriage & Family Therapist 247 West Prairie, Catholics Charities, Decatur, IL 62523 2006-09-22
1871117887 Restore Wellness Counseling LLC Social Worker 106 North Main Street, Decatur, IL 62523 2020-06-04
1275004186 Stephanie Maurer Physician Assistant 320 Central Ave, Decatur, IL 62523 2018-12-17
1669673620 Decatur Public School Dist. #61 Local Education Agency (LEA) 101 W Cerro Gordo St, Decatur, IL 62523-1001 2007-05-29
1295246320 Barbara A Nadler Speech-Language Pathologist 101 W Cerro Gordo St, Decatur, IL 62523-1001 2017-10-16
Find all providers in zip 62523

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700495975 Shalunda Harrison Licensed Practical Nurse 4311 Christine Ct, Decatur, GA 30035-1702 2020-07-23
1730616392 Kalena Yolanda Smith Licensed Practical Nurse 12219 Highway 503, Decatur, MS 39327-8915 2017-05-15
1871038729 Kelli Sha'ron Johnson Licensed Practical Nurse 3014 Boring Ridge Dr, Decatur, GA 30034-4427 2017-01-02
1205207230 Nekeisha Johnson Licensed Practical Nurse 4318 Sherwood Oaks Dr, Decatur, GA 30034-5475 2015-10-16
1124450010 Kurteice C James Licensed Practical Nurse 2024 Fowler Rd, Decatur, GA 30035-2130 2013-08-02
1619216645 Rose Andrea Hills Licensed Practical Nurse 3657 Dogwood Farm Rd, Decatur, GA 30034-6403 2013-02-12
1699382895 Pamela Mckelvey Licensed Practical Nurse 4110 Us Highway 31 S, Decatur, AL 35603-1644 2020-09-30
1902427982 Latasha L Patton Licensed Practical Nurse 151 N Main St, Decatur, IL 62523-1206 2020-05-01
1710508692 Tayler J Dance Licensed Practical Nurse 151 N Main St, Decatur, IL 62523-1206 2020-05-01
1992326979 Stephanie P Conlin Licensed Practical Nurse 151 N Main St, Decatur, IL 62523-1206 2020-05-01
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 62523

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Dataset Information

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.

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