MR. SHAWN B BACKUS


Address: 2221 S Webster Ave Ste A160, Green Bay, WI 54301-2158
Phone: 9205443747

MR. SHAWN B BACKUS (NPI# 1184064511) 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) 1184064511
Entity Type Individual
Full Name MR. SHAWN B BACKUS
Credential LPN
Practice Address 2221 S Webster Ave Ste A160
Green Bay
WI 54301-2158
Practice Telephone 9205443747
Mailing Telephone 9205443747
Enumeration Date 2013-06-30
Last Update Date 2013-06-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 317165-31 WI Nursing Service Providers

Office Location

Street Address 2221 S WEBSTER AVE STE A160
City GREEN BAY
State WI
Zip Code 54301-2158

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
Find all providers in zip 54301

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
1407412125 Melinda Sue Trinkner Licensed Practical Nurse 1012 Forest Hill Dr, Green Bay, WI 54311-5930 2019-05-17
1295295483 Anna Lee Kolb Licensed Practical Nurse 1061 Kellogg St, Green Bay, WI 54303-2968 2019-03-22
1124515861 Celia M Diehl Licensed Practical Nurse 2124 Orrie Ln, Green Bay, WI 54304-4345 2018-04-18
1366980583 Peggy Stewart Licensed Practical Nurse 1547 Russell St, Green Bay, WI 54304-3013 2017-02-08
1114475712 Amy Mueller Licensed Practical Nurse 1525 Rosalie Ln, Green Bay, WI 54304-2926 2016-09-13
1285021592 Bobbi Schaetz Licensed Practical Nurse 2610 Gemini Rd, Green Bay, WI 54311-4610 2015-04-24
1790173698 Susan Johnson Licensed Practical Nurse 2697 Hillside Heights Dr, Green Bay, WI 54311-6774 2014-12-30
1619370178 Paula Jean Boehm Licensed Practical Nurse 1663 Birchwood Dr, Green Bay, WI 54304-2936 2014-09-29
1518398999 Rexann Hammons Licensed Practical Nurse 605 W Briar Ln, Apt 223, Green Bay, WI 54301-1367 2013-12-10
1700212255 Jessica Barszcz Licensed Practical Nurse 3066 W Point Rd, Green Bay, WI 54313-5442 2013-09-16
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54301

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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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