SHANNON WHALEY (NPI# 1780026419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364S00000X | Clinical Nurse Specialist | R1740327 | MN | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
1900 SILVER LAKE RD NW SUITE 110 |
City | NEW BRIGHTON |
State | MN |
Zip Code | 55112-1786 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55112 |
Taxonomy Code | 364S00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | NEW BRIGHTON |
Zip Code | 55112 |
Please comment or provide details below to improve the information on SHANNON WHALEY.
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.