KATIE SHANNON (NPI# 1144829300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144829300 |
| Entity Type | Individual |
| Full Name | KATIE SHANNON |
| Credential | DNP |
| Practice Address |
1000 4th St Sw Mason City IA 50401-2800 |
| Practice Telephone | 6414286999 |
| Practice Fax Number | 6414286678 |
| Mailing Telephone | 6414286999 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
H161141 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619450244 | Katie J Shannon | Physical Medicine & Rehabilitation | 1206 N Main St, Mountain Grove, MO 65711-1025 | 2018-09-10 |
| 1295862621 | Katie B Shannon | Social Worker | 316 2nd Ave W, Williston, ND 58801-5218 | 2007-02-27 |
| Street Address |
1000 4TH ST SW |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453274 | Curtis Gedney | Family Medicine | 1000 4th St Sw, Mason City, IA 50401-2800 | 2005-08-02 |
| 1588289672 | Heidi Smith | Clinical Nurse Specialist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-06-15 |
| 1164054755 | Traci Goll | Nurse Practitioner | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-02-11 |
| 1174154355 | Amanda Ann Walker | Physician Assistant | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-01-28 |
| 1679124002 | Jon Elmore | Physical Therapist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-09-26 |
| 1225699028 | Jeremy Kevin Stamps | Physical Therapist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-06-24 |
| 1285298943 | Anna Levan | Nurse Practitioner | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-04-29 |
| 1982162608 | Mohamed Abdi | Radiology | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-03-12 |
| 1477024123 | Jesse L Wineland | Physical Therapist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2018-12-06 |
| 1093298713 | Audrey Lynn Benson | Physical Therapy Assistant | 1000 4th St Sw, Mason City, IA 50401-2800 | 2018-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285189258 | Darcy Lynn Lee | Nurse Practitioner | 100 1st St Nw, Suite 200, Mason City, IA 50401-3130 | 2016-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414004 | Daniel Timothy Holthaus | Nurse Practitioner | 1403 Mckinley Pl, Iowa City, IA 52246-4142 | 2020-10-12 |
| 1942814462 | Caroline E Marcotte | Nurse Practitioner | 5 Mark Twain Ct, North Liberty, IA 52317-9675 | 2020-09-02 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1053942789 | Marcia Hester | Nurse Practitioner | 969 E St, Conroy, IA 52220-7701 | 2020-01-31 |
| 1265910939 | Barbara Ann Peterson | Nurse Practitioner | 613 E Bloomington St Ste 100, Iowa City, IA 52245-2601 | 2018-08-03 |
| 1700398377 | Eve Sheehan | Nurse Practitioner | 1129 Mlk Jr Pkwy, Des Moines, IA 50314-1204 | 2017-11-03 |
| 1356865042 | Peggy Sue Deboer | Nurse Practitioner | 1200 Tri View Ave, Sioux City, IA 51103-4900 | 2017-08-03 |
| 1962855148 | Marsan Klein | Nurse Practitioner | 2930 E Euclid Ave, Des Moines, IA 50317-3840 | 2016-07-22 |
| 1366815391 | Chelsey Zitelman | Nurse Practitioner | 110 King St, Fayette, IA 52142-9735 | 2015-11-13 |
| 1942686811 | Cindy Ann Grow | Nurse Practitioner | 45 W Jefferson St Apt 318, Waterloo, IA 50701-1331 | 2015-08-03 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
Please comment or provide details below to improve the information on KATIE SHANNON.
| 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.