SHANNA WEISS (NPI# 1750850988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750850988 |
| Entity Type | Individual |
| Full Name | SHANNA WEISS |
| Credential | LP |
| Practice Address |
1930 Coon Rapids Blvd Nw Coon Rapids MN 55433-4708 |
| Mailing Address |
2060 Centre Pointe Blvd Ste 3 Saint Paul MN 55120-1271 |
| Practice Telephone | 7634277964 |
| Mailing Telephone | 6512883521 |
| Mailing Fax Number | 6517740606 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP6149 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7220 York Ave S Apt 116, Edina, MN 554354459 | 7635165222 |
| Street Address |
1930 COON RAPIDS BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489751 | Family Life Mental Health Center | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2005-07-05 |
| 1508337551 | Elizabeth Anastasia Mcdevitt | Nurse Practitioner | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-12-16 |
| 1578030375 | Isaac Boike | Counselor | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-10-30 |
| 1184191165 | James B Benda | Marriage & Family Therapist | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-10-29 |
| 1710401930 | Tehut T Tefera | Registered Nurse | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2017-07-30 |
| 1194271361 | Jennifer Lynn Chasco | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 | 2016-08-29 |
| 1235684424 | Francis Mclaughlin | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2016-08-17 |
| 1649623083 | Kurt Sayers | Counselor | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2016-07-21 |
| 1407207400 | Kenyari Wright | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2016-06-30 |
| 1215324074 | Amanda Adell Dunn | Marriage & Family Therapist | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649683939 | Lyle Walter Wagner IIi | Psychologist | 3907 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2520 | 2014-06-04 |
| 1720117997 | Brenda Janice Crespo | Psychologist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2007-03-05 |
| 1033562137 | Ciara Lee Stigen | Psychologist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2016-07-13 |
| 1205284445 | Julie Brisco | Psychologist | 4050 Coon Rapids Blvd, Coon Rapids, MN 55311 | 2016-05-27 |
| 1427239847 | Janet Carol Stam I | Psychologist | 277 Coon Rapids Blvd Nw, Suite 115, Coon Rapids, MN 55433-5843 | 2007-11-15 |
| 1780755256 | Heidi Jo Hathaway | Psychologist | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on SHANNA WEISS.
| 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.