SHANNON OLSON (NPI# 1265843346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265843346 |
| Entity Type | Individual |
| Full Name | SHANNON OLSON |
| Credential | ATC |
| Practice Address |
800 40th Ave E West Fargo ND 58078-7926 |
| Mailing Address |
3011 34th St S Moorhead MN 56560-6938 |
| Practice Telephone | 7013562160 |
| Mailing Telephone | 7018665298 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 251-02 | ND | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326234576 | Shannon Lynn Olson | Specialist | 435 Selkirk Dr, Schaumburg, IL 60194-2745 | 2007-09-21 |
| 1548416365 | Shannon R Olson | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2008-08-12 |
| Street Address |
800 40TH AVE E |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-7926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881020105 | Tim Rice | Specialist/Technologist, Other | 300 Np Ave N, 202, Fargo, ND 58102-4871 | 2013-09-18 |
| 1982715876 | Richard Charles Woodbeck Jr. | Specialist/Technologist, Other | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2006-08-31 |
| City | WEST FARGO |
| Zip Code | 58078 |
Please comment or provide details below to improve the information on SHANNON OLSON.
| 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.