SHANNON M SIKORSKI (NPI# 1275955494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275955494 |
| Entity Type | Individual |
| Full Name | SHANNON M SIKORSKI |
| Credential | FNP-BC |
| Practice Address |
1312 1st St Kennett MO 63857-2526 |
| Mailing Address |
Po Box 728 Kennett MO 63857-0728 |
| Practice Telephone | 5737171080 |
| Practice Fax Number | 5738883046 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013043969 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619482619 | Shannon Sikorski | Behavioral Analyst | 218 S 38th St, Tacoma, WA 98418-7807 | 2017-12-12 |
| 1902961121 | Shannon M Sikorski | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-12-27 |
| Street Address |
1312 1ST ST |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132648 | Teresita I Manubay | Pediatrics | 1312 1st St, Kennett, MO 63857-2526 | 2005-05-31 |
| 1851707871 | Kennett Hma, LLC | Pediatrics | 1312 1st St, Kennett, MO 63857-2526 | 2014-07-10 |
| 1861792103 | Manubay Medical Clinic Md Inc | Pediatrics | 1312 1st St, Kennett, MO 63857-2526 | 2010-11-02 |
| 1851618011 | Kennett Hma LLC | Pediatrics | 1312 1st St, Kennett, MO 63857-2526 | 2010-04-28 |
| 1053514356 | Semo Drug of Kennett | Pharmacy | 1312 1st St, Kennett, MO 63857-2526 | 2007-06-06 |
| 1700880788 | Teodoro A Manubay | Specialist | 1312 1st St, Kennett, MO 63857-2526 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699200477 | Jeremy Hughes | Nurse Practitioner | 1231 1st St Ste 5, Kennett, MO 63857-2521 | 2017-04-28 |
| 1952503690 | Emily Jane Garrett-pruett | Nurse Practitioner | 935 State Route Vv, Kennett, MO 63857-3822 | 2007-06-04 |
| 1518565357 | Mary Hannah Pierce | Nurse Practitioner | 201 Floyd St, Kennett, MO 63857-2450 | 2020-10-14 |
| 1033689864 | Brittnay Mossman | Nurse Practitioner | 211 Teaco Rd, Kennett, MO 63857-3236 | 2018-12-05 |
| 1619444627 | Kimberly Ellen Slayton | Nurse Practitioner | 211 Teaco Rd, Kennett, MO 63857-3236 | 2018-10-29 |
| 1043692528 | Savannah Coin | Nurse Practitioner | 1301 1st St, Kennett, MO 63857-2525 | 2015-06-22 |
| 1053735308 | Sharon Ann Payne | Nurse Practitioner | 501 Teaco Rd, Ste B, Kennett, MO 63857 | 2014-02-06 |
| 1114277803 | Jennifer Leann Bader | Nurse Practitioner | 920 Kennett St, Kennett, MO 63857-3817 | 2012-09-11 |
| 1104115153 | Connie Lynne Gurley | Nurse Practitioner | 1231 1st St, Suite 5, Kennett, MO 63857-2527 | 2011-03-30 |
| 1942508999 | Stacy Ann Emerson | Nurse Practitioner | 935 State Route Vv, Kennett, MO 63857-3822 | 2011-02-28 |
| Find all providers in KENNETT | ||||
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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.