SHANNON WHALEY


Address: 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786
Phone: 6516289566

SHANNON WHALEY (NPI# 1780026419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780026419
Entity Type Individual
Full Name SHANNON WHALEY
Other Name SHANNON BRUNER
Credential CNP
Practice Address 1900 Silver Lake Rd Nw
Suite 110
New Brighton
MN 55112-1786
Practice Telephone 6516289566
Practice Fax Number 6516280411
Mailing Telephone 6516289566
Mailing Fax Number 6516280411
Enumeration Date 2013-07-23
Last Update Date 2013-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist R1740327 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers SHANNON WHALEY

NPI Name Taxonomy Address Enumeration
1932692910 Shannon Cherie Whaley Peer Specialist 237 26th St, Ogden, UT 84401-3105 2018-06-13
1811238231 Shannon L Whaley Occupational Therapist 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 2013-03-11

Office Location

Street Address 1900 SILVER LAKE RD NW
SUITE 110
City NEW BRIGHTON
State MN
Zip Code 55112-1786

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861492134 Edwin Walker Psychiatry & Neurology 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2005-07-28
1144833484 Anna Marie Ricci Counselor 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2020-08-26
1568086346 Kenneth Leroy King Sr. Student in an Organized Health Care Education/Training Program 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2020-06-08
1184247108 Alissa Marie Lambrides Counselor 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2020-05-26
1184247660 Tammie Leetta Fullman Counselor 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2020-05-19
1396379541 Meredith Lawlor Counselor 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2020-02-26
1154961225 Ryan Jones Counselor 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2020-01-07
1902440944 Olufemi Michael Adetunji Nurse Practitioner 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2019-11-02
1174166672 Williametta Augusta Wells Counselor 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2019-10-28
1780227736 Jason T Caspillo Psychologist 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2019-10-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932729704 Owegio Wreh Technician 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 2020-04-22
1205497435 Silver Lake Smiles Family Dentistry Clinic/Center 2370 Palmer Drive, New Brighton, MN 55112 2019-06-27
1932766169 Matthew Thomas Hanowski Dentist 2442 Mounds View Boulevard, Mounds View, MN 55112 2019-05-22
1437619988 Marjean Diane Leary Registered Nurse 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 2019-03-21
1558802728 Krishna Katira Student in an Organized Health Care Education/Training Program 2442 County Hwy 10, Mounds View, MN 55112 2017-03-20
1245781608 Evan Fredrick Lieberman Counselor 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 2016-10-20
1093262065 Ryan Zinken Nurse Practitioner 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 2016-09-07
1447703228 Alison Glodek Social Worker 2543 17th St Nw, New Brighton, MN 55112 2016-07-28
1659728194 Ge Vang Sr. Driver 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 2016-05-14
1114373578 Jessica Gapinski Specialist/Technologist 3900 Bethel Drive, Arden Hills, MN 55112 2016-05-04
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Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093777955 Samantha Ann Huguelet Clinical Nurse Specialist 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 2006-04-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255761821 Karen Mary Gmitro Prieto Clinical Nurse Specialist 913 E 26th St # 401, Minneapolis, MN 55404-4515 2013-11-19
1942642681 Jean Vaneps Clinical Nurse Specialist 708 Division St, Deer River, MN 56636-8706 2013-07-23
1174745715 Susan M Karnitz Clinical Nurse Specialist 1575 Beam Avenue, Maplewood, MN 55109 2007-05-03
1598805079 Marybeth L O Neil Clinical Nurse Specialist 2100 Campus Dr Se, Rochester, Rochester, MN 55904-4831 2007-02-07
1700955366 Geropsych Health Services, Inc. Clinical Nurse Specialist 611 Spruce Grove Ln Nw, Bemidji, MN 56601-7746 2006-11-07
1912008152 Molly S Fritz-beckers Clinical Nurse Specialist Range Mental Health Center Perpich Building, 3203 W 3rd Ave, Hibbing, MN 55746 2006-09-26
1407866510 Saunda St Martin Clinical Nurse Specialist 24760 Hospital Drive, Redlake, MN 56671 2006-08-09
1578577953 Nancy Menzel Clinical Nurse Specialist 15 S Pilot Ct, Mankato, MN 56001-4127 2006-07-28
1417901109 Jodie Duntley Clinical Nurse Specialist 701 Park Ave # S1, Minneapolis, MN 55415-1623 2006-05-19
1992766869 Gay M Bartholic Clinical Nurse Specialist 2345 Ariel Street N - Mail Stop 13601a, Healthpartners Regions Behavioral Health - Maplewood, Maplewood, MN 55109-2248 2006-03-30
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Competitor

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City NEW BRIGHTON
Zip Code 55112

Improve Information

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Dataset Information

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.

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