SHANNON WILSON (NPI# 1336617398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336617398 |
| Entity Type | Individual |
| Full Name | SHANNON WILSON |
| Other Name | SHANNON RUPORT |
| Credential | RN |
| Practice Address |
228 19th St Sw Rochester MN 55902-2327 |
| Mailing Address |
880 Golfview Ave Zumbrota MN 55992-7336 |
| Practice Telephone | 5072613200 |
| Mailing Telephone | 5072613200 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
R100005 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752425 | Shannon Michelle Wilson | Licensed Practical Nurse | 38 S Thomas Rd Unit B, Tallmadge, OH 44278-2100 | 2019-04-03 |
| 1841711173 | Shannon Wilson | Physical Therapy Assistant | 6102 Easton Rd, Knoxville, TN 37920-6434 | 2017-06-27 |
| 1629417746 | Shannon Marie Wilson | Counselor | 1570 42nd St Ne Ste 2a, Cedar Rapids, IA 52402-3073 | 2013-06-21 |
| 1033402268 | Shannon Lotess Wilson | Licensed Practical Nurse | 16834 127th Ave, 6a, Jamaica, NY 11434-3148 | 2011-05-20 |
| 1013225754 | Shannon Amber Wilson | Social Worker | 3535 N California Ave, Suite F, Peoria, IL 61603-1178 | 2010-09-15 |
| 1043413115 | Shannon Leigh Wilson | Physical Therapy Assistant | 5210 Sarah Lane, Fredericksburg, VA 22407 | 2007-06-07 |
| 1477681146 | Shannon Brock Wilson | Dentist | 19 Shirmadon Dr, Honea Path, SC 29654-1533 | 2007-03-02 |
| 1730714320 | Shannon Elise Wilson | Behavior Technician | 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347 | 2020-03-04 |
| 1396225843 | Shannon A Wilson | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-08-15 |
| 1003304171 | Shannon Wilson | Assistant Behavior Analyst | 550 N Reo St, Tampa, FL 33609-1061 | 2018-04-24 |
| Street Address |
228 19TH ST SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205921715 | Sue M Keenan | Registered Nurse | 172 Alexander Street, Rochester, NY 14607 | 2006-10-03 |
| 1932711686 | Noa Shannon Bourke | Registered Nurse | 105 Eastern Ave, Rochester, NH 03867-2007 | 2020-08-22 |
| 1821504259 | Christopher Kirisits | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2017-12-21 |
| 1043726342 | Joseph Fleisher | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2017-12-21 |
| 1972951887 | Susie Mae Gatewood | Registered Nurse | 281 W Ridge Rd, Rochester, NY 14615-2927 | 2016-06-01 |
| 1184094732 | Eric John Jansen | Registered Nurse | 339 East Ave, Suite 303, Rochester, NY 14604-2627 | 2015-09-25 |
| 1104089028 | Catherine J Brown | Registered Nurse | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2008-07-10 |
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| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1326525726 | Megan Heuer Korhonen | Registered Nurse | 616 America Ave Nw Ste 130, Bemidji, MN 56601-3848 | 2018-07-27 |
| 1497265995 | My Legal Nurse Consultants LLC | Registered Nurse | 10608 Arrowhead St Nw, Coon Rapids, MN 55433-4013 | 2017-10-10 |
| 1881134716 | Laura Evenson | Registered Nurse | 61953 251st Ave, Mantorville, MN 55955-6039 | 2017-02-25 |
| 1093810244 | Grattan Health Care Incorporated | Registered Nurse | 5710 County Road 121, Fort Ripley, MN 56449-1486 | 2006-09-13 |
| 1427044239 | Janette Mary Setterquist | Registered Nurse | 927 Trettel Ln, Cloquet, MN 55720-1345 | 2005-09-27 |
| 1467064402 | Pang Vang | Registered Nurse | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1841802113 | Margaret Bauer | Registered Nurse | 2518 1st Ave S, Minneapolis, MN 55404-4317 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
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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.