SHANNON LESLIE SNYDER (NPI# 1760775142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760775142 |
| Entity Type | Individual |
| Full Name | SHANNON LESLIE SNYDER |
| Credential | R.N. |
| Practice Address |
12567 5th Ave N Suite 100 Zimmerman MN 55398-8451 |
| Practice Telephone | 7638569955 |
| Practice Fax Number | 7638569956 |
| Mailing Telephone | 7638569955 |
| Mailing Fax Number | 7638569956 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R-127118-4 | MN | Nursing Service Providers |
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R-127118-4 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497210801 | Shannon R Snyder | Counselor | 115 Andrew Ct, Carlisle, PA 17015-4371 | 2019-02-11 |
| 1518448919 | Shannon Lee Snyder | Social Worker | 220 Forbes Rd Rear Suite117, Braintree, MA 02184-2710 | 2018-08-23 |
| 1235303645 | Shannon Snyder | Physical Therapist | 1600 Westbrook Ave Ste 134, Richmond, VA 23227-3326 | 2008-04-16 |
| 1639703424 | Shannon Snyder | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2020-03-02 |
| 1093372229 | Shannon Snyder | Nurse Practitioner | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2019-05-22 |
| 1699215434 | Shannon Michelle Snyder | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-02-27 |
| 1891196796 | Shannon Rae Snyder | Nurse Practitioner | 557 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2014-09-10 |
| 1720407380 | Shannon Snyder | Specialist | 435 4th St, Troy, NY 12180-5324 | 2014-04-10 |
| 1164668448 | Shannon Renee Snyder | Physician Assistant | 1411 N Flagler Dr, Suite 6100, West Palm Beach, FL 33401-3404 | 2008-12-17 |
| 1417105834 | Shannon Snyder | Speech-Language Pathologist | 1520 Grove St, Loudon, TN 37774-1575 | 2008-08-28 |
| Street Address |
12567 5TH AVE N SUITE 100 |
| City | ZIMMERMAN |
| State | MN |
| Zip Code | 55398-8451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902199383 | Valerie Ann Anderson | Registered Nurse | 12567 5th Ave N, Suite 100, Zimmerman, MN 55398-8451 | 2011-05-18 |
| 1053604439 | Brenda Kay Marketon | Registered Nurse | 12567 5th Ave N, Suite 100, Zimmerman, MN 55398-8451 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033206750 | Pine Ridge Dental Pa | Dentist | 26273 2nd St E, Suite A, Zimmerman, MN 55398 | 2006-10-06 |
| 1699850826 | Steven R Luginbill | Chiropractor | 26273 2nd St E, Zimmerman, MN 55398 | 2006-10-26 |
| 1346605425 | Kim I Evenson | Technician | 27911 Lake Diann Rd, Zimmerman, MN 55398-4268 | 2015-12-16 |
| 1073796322 | Life Senior Care Inc. | Home Health | 28347 112th St Nw, Zimmerman, MN 55398-4307 | 2007-12-10 |
| 1962525626 | Margery Ann Vetsch-peterson | Registered Nurse | 28347 112th St, Zimmerman, MN 55398-4307 | 2007-04-09 |
| 1346425543 | Open Harbors Inc. | Respite Care | 28347 112th St Nw, Zimmerman, MN 55398-4307 | 2008-01-07 |
| 1619367018 | Christy Jeanette White | Specialist/Technologist | 26479 Fremont Dr, Zimmerman, MN 55398-4566 | 2015-01-23 |
| 1306165618 | P&p Investors, Inc. | Psychologist | 25660 3rd St W, Suite 304, Zimmerman, MN 55398-4584 | 2010-05-26 |
| 1386709541 | Brian L Hoffmann | Chiropractor | 26250 2nd St W Ste 100, Zimmerman, MN 55398-4603 | 2006-12-27 |
| 1093125973 | Tyler Paul Roehl | Chiropractor | 15225 295th Ave Nw, Zimmerman, MN 55398-4657 | 2014-05-01 |
| Find all providers in zip 55398 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366868002 | Danielle Kalor | Registered Nurse | 12567 5th Ave N Ste 100, Zimmerman, MN 55398-8453 | 2014-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312118 | Live Life Well Sevices LLC | Registered Nurse | 1469 Gardena Ave Ne, Fridley, MN 55432-5815 | 2020-10-01 |
| 1225641509 | Celia Marie Petrowiak | Registered Nurse | 308 Jeri St, Fairmont, MN 56031-3249 | 2020-08-26 |
| 1134762404 | Crystal Marie Macfarlane | Registered Nurse | 2232 Jefferson St, Duluth, MN 55812-2114 | 2019-10-19 |
| 1689237638 | Jill Wackler | Registered Nurse | 2404 Greenbriar Ln, Buffalo, MN 55313-2368 | 2019-04-16 |
| 1871082354 | Shelly Lynn Manthey | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2018-05-09 |
| 1184153579 | Emily Marie Domeier | Registered Nurse | 1961 Premier Dr., Suite 340, Mankato, MN 56001 | 2017-06-08 |
| 1366993339 | Kristen Mellen | Registered Nurse | 104 Buckingham Ct, Mankato, MN 56001-5576 | 2016-10-14 |
| 1821440165 | Lisa Moon | Registered Nurse | 13723 Findlay Ave, Apple Valley, MN 55124-8070 | 2016-07-11 |
| 1669857587 | Kacey Ann Kasel | Registered Nurse | 820 Winnebago Ave, Suite 3, Fairmont, MN 56031-3645 | 2015-07-21 |
| 1205218989 | Kristen Louise Siewert | Registered Nurse | 3249 Noble Ave N, Golden Valley, MN 55422-3016 | 2015-06-18 |
| 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.