MISS SHANNON MARIE BUCKMIER (NPI# 1922155043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922155043 |
| Entity Type | Individual |
| Full Name | MISS SHANNON MARIE BUCKMIER |
| Credential | PT |
| Practice Address |
3001 11th St S Fargo ND 58103-6048 |
| Practice Telephone | 7013516202 |
| Mailing Telephone | 7017306202 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
6742 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
980 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 736122000 | 05 | |
| HEALTH PARTNERS | HP50727 | 01 | |
| MEDICA-UNITED HEALTH CARE | 64-05521 | 01 | |
| PRIVATE HEALTHCARE SYSTEM | 9378588 | 01 | |
| ND | 54984 | 05 | |
| ND | BLUE CROSS BLUE SHIELD | 25303 | 01 |
| AETNA | 64-05521 | 01 |
| Street Address |
3001 11TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659323251 | Peter Anthony Edwards | Social Worker | 3001 11th St S, Fargo, ND 58103-6048 | 2006-05-16 |
| 1396360202 | Mercedes Sather | Speech-Language Pathologist | 3001 11th St S, Fargo, ND 58103-6048 | 2020-06-16 |
| 1427671338 | Kalley Kragenbring | Speech-Language Pathologist | 3001 11th St S, Fargo, ND 58103-6048 | 2020-05-26 |
| 1033750732 | Bobbie Sunderland | Occupational Therapist | 3001 11th St S, Fargo, ND 58103-6048 | 2019-10-03 |
| 1568013720 | Amber Aakre | Physical Therapist | 3001 11th St S, Fargo, ND 58103-6048 | 2019-09-27 |
| 1154982353 | Shannon Marie Sitz | Speech-Language Pathologist | 3001 11th St S, Fargo, ND 58103-6048 | 2019-06-27 |
| 1780143610 | Kelsey Hemberger | Occupational Therapist | 3001 11th St S, Fargo, ND 58103-6048 | 2019-03-19 |
| 1447719281 | Samantha Engelhard | Occupational Therapist | 3001 11th St S, Fargo, ND 58103-6048 | 2019-03-19 |
| 1376008300 | Hannah Anderson | Speech-Language Pathologist | 3001 11th St S, Fargo, ND 58103-6048 | 2019-02-04 |
| 1063936813 | Rachael Claire Carlisle | Speech-Language Pathologist | 3001 11th St S, Fargo, ND 58103-6048 | 2017-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114198983 | Erika Lea Hanson | Physical Therapist | 1420 8th St N, Fargo, ND 58102-2613 | 2008-03-19 |
| 1275680720 | Jodi Denee Hendrickson | Physical Therapist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2007-01-05 |
| 1023411386 | Theresa Marie Cowles | Physical Therapist | 801 Broadway N, Fargo, ND 58102-3641 | 2014-10-01 |
| 1578966057 | Adrienne Shirlene Wickenheiser | Physical Therapist | 801 Broadway N, Fargo, ND 58102-3641 | 2014-09-29 |
| 1427229954 | Catherine Ann Sadler-villella | Physical Therapist | 4201 25th St S, Fargo, ND 58104-6800 | 2008-03-12 |
| 1730369935 | Suzanne Shelley Hammer | Physical Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871853010 | Kim Bloms | Physical Therapist | 1702 E Main St # 103, Mandan, ND 58554-3818 | 2012-05-22 |
| 1861619900 | Karena Lee Holm | Physical Therapist | 2200 Library Cir, Grand Forks, ND 58201 | 2007-04-19 |
| 1497805196 | Great Kids Therapy, Ltd. | Physical Therapist | 102 W Beaton Dr, Suite 100, West Fargo, ND 58078-2652 | 2007-01-12 |
| 1053468223 | Brian Allen Borchardt | Physical Therapist | 7119 Maple Ln, Horace, ND 58047-4714 | 2007-01-03 |
| 1245287069 | Tammy Leigh Sayler | Physical Therapist | 2951 S 34th St, Grand Forks, ND 58201-6061 | 2006-05-27 |
| 1689290124 | Engagement Pllc | Physical Therapist | 508 13th St E, Dickinson, ND 58601-4179 | 2020-06-21 |
| 1548712516 | Jeremy St. Aubin | Physical Therapist | 612 Center Ave N, Ashley, ND 58413-7013 | 2016-10-26 |
| 1487032173 | Melissa Marie Lennon | Physical Therapist | 2200 Library Cir, Grand Forks, ND 58201-6326 | 2015-05-13 |
| 1225220759 | Jackie Mrachek | Physical Therapist | 300 N 7th St, Bismarck, ND 58501-4439 | 2007-08-17 |
| 1093857633 | Patricia A Gerszewski | Physical Therapist | 215 2nd St Se, Minot, ND 58701-3924 | 2007-02-12 |
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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.