SHANNON HACKETT (NPI# 1982622791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982622791 |
| Entity Type | Individual |
| Full Name | SHANNON HACKETT |
| Credential | OTRL |
| Practice Address |
3701 12th Street N Suite 100 St Cloud MN 56303 |
| Practice Telephone | 3202537257 |
| Practice Fax Number | 3202512938 |
| Mailing Telephone | 3202537257 |
| Mailing Fax Number | 3202512938 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| P ONE | 1044152 | 01 | |
| METRAHEALTH MPIN | 670000341 | 01 | |
| MEDICA | 6405829 | 01 | |
| BCBS | 182G6HA | 01 | |
| RAILROAD MEDICARE | P00282811 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396298147 | Shannon Elizabeth Hackett | Counselor | 605 W Belmont Ave, #303, Chicago, IL 60657-6433 | 2016-07-28 |
| 1962717884 | Shannon Hackett | Psychologist | 509 Olive Way Ste 204, Seattle, WA 98101-1726 | 2010-08-16 |
| Street Address |
3701 12TH STREET N SUITE 100 |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144248956 | Thomas L Satterberg | Surgery | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
| 1801802244 | Merlin Eckes | Physician Assistant | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-31 |
| 1053339861 | Paul W Schultz | Surgery | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
| 1952329757 | Midsota Surgical Suites Pa | Clinic/Center | 3701 12th Street N, Ste 101, St Cloud, MN 56303 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427089820 | Christopher S Harbaugh | Occupational Therapist | 3701 12th St North, Suite 100, St Cloud, MN 56303 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193326 | Shannon M Winn | Occupational Therapist | 529 Stine Dr, Carlton, MN 55718-9721 | 2020-10-26 |
| 1912504960 | Marissa Erin Rahlf | Occupational Therapist | 25834 710th St, Hayfield, MN 55940-8745 | 2020-10-02 |
| 1427662105 | Superior Therapy Solution LLC | Occupational Therapist | 1730 New St, Duluth, MN 55806-2114 | 2020-09-01 |
| 1083228753 | Rachel Anne Kramer | Occupational Therapist | 42808 County Road 11, Bird Island, MN 55310-3006 | 2020-09-01 |
| 1073123873 | Robert G Otos | Occupational Therapist | 8700 Virginia Cir N, Saint Louis Park, MN 55426-2455 | 2020-08-06 |
| 1164031787 | Melissa Cayetano Sanchez | Occupational Therapist | 6990 Wyndham Way, Woodbury, MN 55125-2761 | 2020-07-29 |
| 1275151896 | Integrative Therapies & Wellness | Occupational Therapist | 115 Willow St W Ste 4, Detroit Lakes, MN 56501-3922 | 2020-07-09 |
| 1760009153 | Traci Lynn Kruse | Occupational Therapist | 11437 Kenyon Ct Ne, Blaine, MN 55449-5483 | 2020-07-01 |
| 1376164244 | Madeline Rose Springer | Occupational Therapist | 19230 Larkspur Ave N, Marine On Saint Croix, MN 55047-9696 | 2020-05-02 |
| 1578182218 | Natalie Ryane Garfield | Occupational Therapist | 3025 Ottawa Ave S Apt 130, St Louis Park, MN 55416-2279 | 2020-04-13 |
| 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.