SHANNA MIKO (NPI# 1194289389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194289389 |
| Entity Type | Individual |
| Full Name | SHANNA MIKO |
| Credential | MSN RN-BC CPN CCRN |
| Practice Address |
4655 Yellowstone Ln N Plymouth MN 55446-3764 |
| Practice Telephone | 3146805592 |
| Mailing Telephone | 3146805592 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
R2023506 | MN | Nursing Service Providers |
| Street Address |
4655 YELLOWSTONE LN N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446-3764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134256795 | Sandra Jennifer Mcgaughey | Registered Nurse | 14 Carolyn Dr, Plymouth, MA 02360-1606 | 2007-02-28 |
| 1033392360 | Norma Jean Snell | Registered Nurse | 64 Industrial Park Rd, Plymouth, MA 02360-4881 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975419 | Shayna Hamiel | Registered Nurse | 2117 Pine Ridge Rd S, Mora, MN 55051-6821 | 2020-06-04 |
| 1689298309 | Bonita Perrine | Registered Nurse | 135 Hatinen Rd, Esko, MN 55733-9525 | 2020-05-29 |
| 1780207738 | Morgan Andrea Abens | Registered Nurse | 10101 Bren Rd E Unit 412, Eden Prairie, MN 55343-0059 | 2020-05-26 |
| 1659994648 | Andree Wilson-nixa | Registered Nurse | 15203 Maryland Ave, Savage, MN 55378-1386 | 2020-05-25 |
| 1992328314 | Amanda M Totenberg | Registered Nurse | 5320 47th Ave S, Minneapolis, MN 55417-2314 | 2020-05-20 |
| 1568092161 | Meredith Doran | Registered Nurse | 4155 30th Ave S, Minneapolis, MN 55406-3129 | 2020-01-22 |
| 1962725960 | Vicki Lynn Roff | Registered Nurse | 1231 5th Street Nw, Bemidji, MN 56601 | 2010-03-04 |
| 1720052343 | Carolyn Marie Veglia Young | Registered Nurse | 2525 Chicago Avenue South, Children's Hospitals and Clinic of Minnesota, Minneapolis, MN 55404 | 2006-02-13 |
| 1376516831 | Lee Ann Hertzog Donovan | Registered Nurse | 250 N Central Ave, #101, Wayzata, MN 55391 | 2006-02-07 |
| 1063485514 | Kelly Ann Boie | Registered Nurse | 14001 Ridgedale Dr, Ste 100, Minnetonka, MN 55305-1781 | 2006-02-07 |
| 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.