SHANNON HANSEN (NPI# 1104393347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104393347 |
| Entity Type | Individual |
| Full Name | SHANNON HANSEN |
| Credential | FNP-BC, NP-C |
| Practice Address |
2105 E 88th Ave Anchorage AK 99507-3805 |
| Mailing Address |
Po Box 743896 Atlanta GA 30374-3896 |
| Practice Telephone | 9072482482 |
| Practice Fax Number | 9072480045 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
139813 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356502389 | Shannon L Hansen | Psychiatry & Neurology | 15 Medical Park Ste 141, General Psychiatry Department, Columbia, SC 29203 | 2008-06-23 |
| 1780229013 | Shannon Hansen | Marriage & Family Therapist | 1770 25th Ave Ste 206, Greeley, CO 80634-4949 | 2019-11-11 |
| 1336701507 | Shannon Hansen | Nurse Practitioner | 10 N Greene St, Baltimore, MD 21201-1524 | 2019-07-08 |
| 1447786884 | Shannon Hansen | Massage Therapist | 2490 E 42nd Ave, Anchorage, AK 99508-5206 | 2017-05-04 |
| 1407216385 | Shannon Hansen | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2016-03-04 |
| 1740649250 | Shannon Vivienne Hansen | Counselor | 5870 Arlington Ave, Suite 103, Riverside, CA 92504 | 2016-02-12 |
| 1780747022 | Shannon Louise Hansen | Counselor | 7 S Howard St Ste 321, Spokane, WA 99201-3816 | 2006-12-18 |
| Street Address |
2105 E 88TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779157 | William Horace Ragle | Internal Medicine | 2105 E 88th Ave, Anchorage, AK 99507 | 2005-06-11 |
| 1760912828 | Shoshannah Seed Kinsler | Nurse Practitioner | 2105 E 88th Ave, Anchorage, AK 99507-3805 | 2017-06-12 |
| 1376904532 | Emily Garhart | Nurse Practitioner | 2105 E 88th Ave, Anchorage, AK 99507-3805 | 2016-03-16 |
| 1376909804 | Renee Alynn Bond | Physician Assistant | 2105 E 88th Ave, Anchorage, AK 99507-3805 | 2016-01-13 |
| 1568885648 | Mary Eby | Nurse Practitioner | 2105 E 88th Ave, Anchorage, AK 99507-3805 | 2014-01-27 |
| 1063834042 | Amy Downing | Nurse Practitioner | 2105 E 88th Ave, Anchorage, AK 99507-3805 | 2014-01-10 |
| 1144362336 | Myhealth Clinic, LLC | Nurse Practitioner | 2105 E 88th Ave, Anchorage, AK 99507 | 2007-02-13 |
| 1548343353 | Cheryl E Bays-goodman | Registered Nurse | 2105 E 88th Ave, Anchorage, AK 99507-3805 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514647 | Kaveri Bharti | Nurse Practitioner | 2900 Morgan Loop, Anchorage, AK 99516-1427 | 2020-09-27 |
| 1831709070 | China Kay Larson | Nurse Practitioner | 9402 Endicott St, Anchorage, AK 99502-1342 | 2020-08-03 |
| 1144847021 | Stephanie Anne Olah Packard | Nurse Practitioner | 6929 Crawford St, Anchorage, AK 99502-2728 | 2020-06-26 |
| 1811541790 | Mia Carlos Camaquin | Nurse Practitioner | 3900 Ambassador Dr Ste 3000, Anchorage, AK 99508-5922 | 2019-07-29 |
| 1275099632 | Marisa C Bune | Nurse Practitioner | 615 E 82nd Ave Ste 302, Anchorage, AK 99518-3159 | 2019-02-11 |
| 1518478569 | Alyeska Medical Staffing | Nurse Practitioner | 12201 Industry Way Ste 4, Anchorage, AK 99515-4316 | 2017-10-17 |
| 1902317035 | Julie Kane | Nurse Practitioner | 4361 Boniface Pkwy Ste 2, Anchorage, AK 99504-4314 | 2017-10-16 |
| 1215458682 | Kimberly Carter | Nurse Practitioner | 4120 Defiance St, Anchorage, AK 99504-4399 | 2017-07-06 |
| 1144763160 | Marina Nedom | Nurse Practitioner | 2501 Brooke Dr, Anchorage, AK 99517-1252 | 2016-11-22 |
| 1427506054 | Jessica Davis | Nurse Practitioner | 1824 Dimond Dr, Anchorage, AK 99507-1308 | 2016-09-12 |
| Find all providers in ANCHORAGE | ||||
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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.