SHANNON CLARA ANDERSON (NPI# 1710488648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710488648 |
| Entity Type | Individual |
| Full Name | SHANNON CLARA ANDERSON |
| Credential | FNP-C, APNP |
| Practice Address |
2202 S Park St Madison WI 53713-1916 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6084435480 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8249-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3434 E Washington Ave, Madison, WI 537044155 | 6084435480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1548490444 | Shannon Todd Anderson | Physical Therapist | 12023 Wandsworth Dr, Tampa, FL 33626-2614 | 2009-07-27 |
| 1386267953 | Shannon Anderson | Social Worker | 217 W Georgia Ave Ste 120, Nampa, ID 83686-6812 | 2020-05-18 |
| 1427685098 | Shannon Elizabeth Anderson | Pharmacist | 525 N Galloway Ave, Mesquite, TX 75149-3482 | 2020-03-24 |
| 1922531656 | Shannon Anderson | Licensed Practical Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2017-04-10 |
| 1154865020 | Shannon Anderson | Nurse Practitioner | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2016-12-13 |
| 1376912618 | Shannon Anderson | Emergency Medicine | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2015-09-16 |
| 1407224751 | Shannon M Anderson | Speech-Language Pathologist | 1550 State Route 488, Clifton Springs, NY 14432-9308 | 2015-09-03 |
| 1740683416 | Shannon Patricia Anderson | Registered Nurse | 1406 6th Ave N, St Cloud Hospital, Saint Cloud, MN 56303-1900 | 2014-10-08 |
| 1891047155 | Shannon Marie Anderson | Nurse Practitioner | 13101 State Line Rd, Kansas City, MO 64145-1650 | 2012-10-11 |
| Street Address |
2202 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53713-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457370892 | Susan Swenson | Nutritionist | 2202 S Park St, Madison, WI 53713-1916 | 2006-07-18 |
| 1053953190 | Shannon M Mccarrick | Psychologist | 2202 S Park St, Madison, WI 53713-1916 | 2019-10-10 |
| 1578043493 | Katrina Johnson | Psychologist | 2202 S Park St, Madison, WI 53713 | 2018-08-20 |
| 1154828226 | Misty M Romero Rivera | Nurse Practitioner | 2202 S Park St, Madison, WI 53713-1916 | 2018-04-06 |
| 1417461666 | Laboratory Corporation of America | Clinical Medical Laboratory | 2202 S Park St, Madison, WI 53713-1916 | 2017-11-27 |
| 1548795883 | Malia Thao | Dentist | 2202 S Park St, Madison, WI 53713-1916 | 2017-04-24 |
| 1346790334 | Alexander Smith | Psychologist | 2202 S Park St, Madison, WI 53713-1916 | 2016-10-13 |
| 1902254659 | Jamie Colvin | Social Worker | 2202 S Park St, Madison, WI 53713-1916 | 2016-06-02 |
| 1669857934 | University of Wisconsin Hospitals and Clincs Authority | Pharmacy | 2202 S Park St, Madison, WI 53713-1916 | 2015-07-28 |
| 1891189759 | Andrew D Welles | Dentist | 2202 S Park St, Madison, WI 53713-1916 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
| 1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
| 1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
| 1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
| 1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
| 1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
| 1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
| 1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
| 1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
| 1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
| Find all providers in MADISON | ||||
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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.