SHANNON M PERRON (NPI# 1184668147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184668147 |
| Entity Type | Individual |
| Full Name | SHANNON M PERRON |
| Credential | RD, LD, CDE |
| Practice Address |
7500 France Ave S Edina MN 55435-3400 |
| Practice Telephone | (952) 835-1311 |
| Practice Fax Number | 9528631077 |
| Mailing Telephone | (952) 835-1311 |
| Mailing Fax Number | 9528631077 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
1991 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LICENSE | 1991 | 01 |
| MN | REGISTERED DIETITIAN | 855257 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3800 Park Nicollet Blvd, International Diabetes Center, St Louis Park, MN 554162527 | 9529931058 | 9529930849 |
| Street Address |
7500 FRANCE AVE S |
| City | EDINA |
| State | MN |
| Zip Code | 55435-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922083260 | Muhammad N Khan | Psychiatry & Neurology | 7500 France Ave S, Edina, MN 55435-3400 | 2005-12-09 |
| 1447705462 | Lauren Babcock | Physician Assistant | 7500 France Ave S, Edina, MN 55435-3400 | 2016-08-19 |
| 1770916967 | Mallory C Moss | Dietitian, Registered | 7500 France Ave S, Edina, MN 55435-3400 | 2013-08-12 |
| 1912348657 | Rachael Sara Berube | Nurse Practitioner | 7500 France Ave S, Edina, MN 55435-3400 | 2013-07-10 |
| 1295171072 | Joseph Thomas Mahon | Urology | 7500 France Ave S, Edina, MN 55435 | 2013-05-20 |
| 1497098297 | Matthew Robert Vanderloo | Internal Medicine | 7500 France Ave S, Edina, MN 55435-3400 | 2013-03-29 |
| 1477859825 | Allina Health System | Clinic/Center | 7500 France Ave S, Edina, MN 55435-3400 | 2011-02-02 |
| 1326367426 | Thomas Nicholas Kurvers | Internal Medicine | 7500 France Ave S, Edina, MN 55435-3400 | 2010-05-28 |
| 1316262850 | Oxana Pavlovna Haflund | Internal Medicine | 7500 France Ave S, Edina, MN 55435-3400 | 2010-03-27 |
| 1396904470 | Nicole Elice Loeding | Internal Medicine | 7500 France Ave S, Edina, MN 55435-3400 | 2008-06-04 |
| Find all providers in the same location | ||||
| 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 | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992241590 | Andrea Pierson | Registered Nurse | 1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186 | 2017-01-06 |
| 1093169567 | Kirsten Lee Johnson | Registered Nurse | 112033 Warner Cir, Chaska, MN 55318-1437 | 2016-04-20 |
| 1073905881 | Cindy Moldan | Registered Nurse | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2015-03-03 |
| 1063815355 | Patricia Ann Osbourn | Registered Nurse | 1900 Centracare Cir # 2500, Centracare Clinic Health Plaza/endocrinology, Saint Cloud, MN 56303-5000 | 2014-10-01 |
| 1942472501 | Margaret Rose Noe | Registered Nurse | Hiwy 84 Cr0324 House#14, Tierra Amarilla, MN 87575 | 2008-03-24 |
| 1881638054 | Joy M Smetanka | Registered Nurse | 6939 Pine Arbor Dr S Ste 100, Cottage Grove, MN 55016-4643 | 2006-06-16 |
| 1881239069 | Pam J Doebbeling | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1297 | 2019-11-12 |
| 1104326636 | Rebekah Lynn Gorny | Registered Nurse | 320 E Main St, Crosby, MN 56441-1645 | 2018-02-21 |
| 1467971572 | Rose Marie Mader | Registered Nurse | 1000 Coney St W, Perham, MN 56573-2102 | 2017-09-11 |
| 1477074300 | Cortney Steen | Registered Nurse | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2017-06-30 |
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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.