SHANNON MARIE JOHNSON WILDER


Address: 2200 Sw Gage Blvd, Topeka, KS 66622-0001
Phone: 7853503111

SHANNON MARIE JOHNSON WILDER (NPI# 1972131621) 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) 1972131621
Entity Type Individual
Full Name SHANNON MARIE JOHNSON WILDER
Other Name SHANNON MARIE JOHNSON
Credential PH.D.
Practice Address 2200 Sw Gage Blvd
Topeka
KS 66622-0001
Practice Telephone 7853503111
Enumeration Date 2020-03-30
Last Update Date 2020-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
377657 WI Behavioral Health & Social Service Providers

Office Location

Street Address 2200 SW GAGE BLVD
City TOPEKA
State KS
Zip Code 66622-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811994395 Jeffrey M Warner Chiropractor 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2005-06-30
1063034486 Margaret Ellen Anderson Occupational Therapist 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2020-05-07
1053949255 Dawn A Garcia Registered Nurse 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2020-04-01
1902432412 Leasha Raelynn Brooks Family Medicine 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2020-03-16
1275169898 Andrea Leigh Orrison Nurse Practitioner 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2020-03-15
1922633718 Cecilia Adaora Nwakpuda Nurse Practitioner 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2020-03-11
1144869025 Jayme M Mavrovich Social Worker 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2019-12-25
1699313882 Shawna R Deters Registered Nurse 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2019-12-18
1407400526 Debra M. Crater Social Worker 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2019-07-26
1609428838 Melissa Hinrichsen Pharmacist 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2019-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255823001 Tara Jarrett Psychologist 2200 Sw Gage Blvd., Topeka, KS 66622 2018-06-06
1750321519 Jamye Buelke Brown Psychologist Colmery-o'neil Va Medical Center, 2200 Gage Boulevard, Topeka, KS 66622 2006-06-08
1003864026 Richard Guy Brausa Social Worker Ekhcs 2200 Gage, Topeka, KS 66622 2006-05-04
1174580625 Sandra Lynn Hampton Physician Assistant 2200 Gage Va, Topeka, KS 66622 2006-04-27
1790741882 Jose Maria Bejar Psychiatry & Neurology 2200 Gage Blvd., Topeka, KS 66622 2006-04-26
1750877635 Kiran Randhawa Psychiatry & Neurology 2200 Sw Gage Blvd., Topeka, KS 66622 2018-07-03
1427089879 Laura Leanne Rupnick Pharmacist Colmery-o'neil Va Medical Center, 2200 Gage Blvd, Topeka, KS 66622 2006-07-05
1457382673 Patricia J Mcnelis Nurse Practitioner 2200 Gage Blvd, Colmeny Oneil Va Medical Center, Topeka, KS 66622 2006-07-05
1962416909 Jay Pehrson Kennedy Family Medicine 2200 Sw Gage Boulevard, U.S. Department of Veterans Affairs, Topeka, KS 66622-0000 2006-07-27
1821588526 Cody Poell Pharmacist 2200 Seems Gage Blvd, Topeka, KS 66622-0001 2018-05-17
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265709026 Optimum Performance Solutions, LLC Psychologist 2709 Sw 29th St, Suite 102, Topeka, KS 66614-2085 2011-11-22
1841501707 Dana Marie Thomas Psychologist 3448 Se 35th St, Topeka, KS 66605-3102 2010-06-25
1255591210 Jessica Paige Snyder Psychologist 815 Se Rice Rd, Topeka, KS 66607-2354 2008-06-12
1902999089 Sallye M. Wilkinson Psychologist 1508 Sw Topeka Blvd, Topeka, KS 66612-1887 2006-10-02
1265544233 Jennifer Marie Grosskreutz Psychologist 327 Sw Frazier Ave, Topeka, KS 66606-1963 2006-08-31
1922117183 James Randall Eyman Psychologist 2955 Sw Wanamaker Drive, Topeka, KS 66614 2006-08-30
1922115922 Elizabeth A Ohse Psychologist 629 Se Quincy St, Suite 103, Topeka, KS 66603-3921 2006-08-24
1215957840 Thomas V Matthews Psychologist 2709 Sw 29th St # 102, Topeka, KS 66614-2085 2006-07-19
1336751296 Callie Ferguson Psychologist 4101 Sw Martin Dr Ste B, Topeka, KS 66609-1221 2020-08-20
1023512712 Jasmine Bene Harris Psychologist 2200 Sw Gage Blvd, Topeka, KS 66622-0001 2018-03-19
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Competitor

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City TOPEKA
Zip Code 66622

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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