MS. SHANNON MARIE NANSEL (NPI# 1619453370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619453370 |
| Entity Type | Individual |
| Full Name | MS. SHANNON MARIE NANSEL |
| Practice Address |
740 Mckinley Ave Kellogg ID 83837 |
| Mailing Address |
740 Mckinley Ave Kellogg ID 83837-2693 |
| Practice Telephone | 2085121574 |
| Mailing Telephone | 2085121574 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
740 MCKINLEY AVE |
| City | KELLOGG |
| State | ID |
| Zip Code | 83837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396797726 | Frederick R Haller | Internal Medicine | 740 Mckinley Ave, Kellogg, ID 83837-2523 | 2006-05-16 |
| 1205445574 | Lindsey A Hill | Community Health Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2020-07-23 |
| 1417414913 | Laboratory Corporation of America | Clinical Medical Laboratory | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2019-02-21 |
| 1972089605 | Kathleen Nansel | Rehabilitation Practitioner | 740 Mckinley Ave, Kellogg, ID 83837 | 2018-07-16 |
| 1588158943 | Amanda Rae Olson | Social Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2018-06-19 |
| 1811413750 | Carrie Jane Leeling | Social Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2017-08-22 |
| 1679094940 | Casey Malia Vincent | Counselor | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2017-06-27 |
| 1114382553 | Foot and Ankle Clinic of Spokane Inc | Durable Medical Equipment & Medical Supplies | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2015-12-30 |
| 1144697814 | Karen Joy Currie | Social Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2015-08-28 |
| 1750799938 | Sean A Meyer | Nurse Practitioner | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740632983 | Jessica Croston | Non-emergency Medical Transport (VAN) | 12 Slaughter House Gul, Wardner, Kellogg, ID 83837 | 2016-07-12 |
| 1568758720 | Daybreak Canyon LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1229 Country Club Rd., Kellogg, ID 83837 | 2011-06-24 |
| 1295034684 | Rusty M Wood | Physical Therapist | 704 Mckinley Avenue, Kellogg, ID 83837 | 2011-03-24 |
| 1295914760 | Silver Valley Emergency Physicians | Emergency Medicine | 3 Jacobs Gulch Road, Kellogg, ID 83837 | 2007-10-31 |
| 1629117429 | Community Ambulance Service Inc | Ambulance | 124 W Brown, Kellogg, ID 83837 | 2007-02-06 |
| 1396810255 | Steven Joseph Rinaldi | Dentist | 418 W Cameron Ave, Kellogg, ID 83837 | 2006-11-22 |
| 1760576193 | Kellogg Drugs LLC | Pharmacy | 131 West Cameron Ave, Kellogg, ID 83837 | 2006-10-02 |
| 1578654406 | Neil Orlew Norman | Dentist | 302 E Cameron Ave, Kellogg, ID 83837 | 2006-09-27 |
| 1285677278 | Loren Ken Zeitz | Anesthesiology | 25 Jacobs Gulch, Kellogg, ID 83837 | 2006-06-14 |
| 1962981951 | Joanne Elizabeth Swiatek | Occupational Therapist | 25 Jacobs Gulch Rd, Kellogg, ID 83837 | 2018-08-09 |
| Find all providers in zip 83837 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779523 | Tracie Lyn Hansen | Peer Specialist | 560 Fairway Dr, Pocatello, ID 83201-2012 | 2020-10-29 |
| 1306481817 | Ability Health and Rehabilitation LLC | Peer Specialist | 10101 W Overland Rd Ste 110, Boise, ID 83709-1429 | 2019-11-08 |
| 1609426923 | Amie Hughes | Peer Specialist | 4737 S Afton Pl Ste A, Chubbuck, ID 83202-2317 | 2019-09-18 |
| 1184113482 | Kolleen Marie Wynn-gallipeau | Peer Specialist | 444 Hospital Way Ste 447, Pocatello, ID 83201-2744 | 2018-05-02 |
| 1073127791 | Calm Waters Counseling Pllc | Peer Specialist | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-09-01 |
| 1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1346878691 | Aspen Ministries Syringa Wellness | Peer Specialist | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2020-03-31 |
| 1962033399 | Lookout Behavioral Health LLC | Peer Specialist | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. SHANNON MARIE NANSEL.
| 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.