DR. SHANNON PETERSON (NPI# 1316975683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316975683 |
| Entity Type | Individual |
| Full Name | DR. SHANNON PETERSON |
| Credential | DC |
| Practice Address |
N275 Military Rd Suite 2 Sherwood WI 54169-9603 |
| Practice Telephone | 9209891599 |
| Practice Fax Number | 9209891593 |
| Mailing Telephone | 9209891599 |
| Mailing Fax Number | 9209891593 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3809-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38937000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982445 | Shannon Elise Peterson | Counselor | 908 N Howard Ave, Grand Island, NE 68803-3556 | 2020-08-14 |
| 1588212161 | Shannon Lyle Peterson | Occupational Therapy Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-08-28 |
| 1356858393 | Shannon Peterson | Case Manager/Care Coordinator | 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 | 2017-12-29 |
| 1215345210 | Shannon Peterson | Nurse Practitioner | 1501 E 10th St, Atlantic, IA 50022-1936 | 2014-07-23 |
| 1588002984 | Shannon Peterson | Pharmacist | 324 Edgewood Rd Nw, Cedar Rapids, IA 52405-3650 | 2013-06-06 |
| 1912253360 | Shannon Michelle Peterson | Massage Therapist | 11811 Mukilteo Speedway, 200, Mukilteo, WA 98275-5442 | 2012-08-02 |
| 1699975235 | Shannon Conley Peterson | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2007-07-23 |
| 1013127828 | Shannon Lynn Peterson | Registered Nurse | 1200 W Speedway Blvd, Tucson, AZ 85745-2326 | 2007-05-23 |
| 1972626521 | Shannon Shaffer Peterson | Marriage & Family Therapist | 4000 W Metropolitan Dr Ste 401, Orange, CA 92868-3506 | 2007-04-09 |
| Street Address |
N275 MILITARY RD SUITE 2 |
| City | SHERWOOD |
| State | WI |
| Zip Code | 54169-9603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730613555 | Megan Wolfinger | Dentist | N275 Military Rd, Sherwood, WI 54169-9603 | 2017-04-18 |
| 1396812905 | Sherwood Chiropractic Sc | Chiropractor | N275 Military Rd, Suite 2, Sherwood, WI 54169-9603 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972838233 | Joseph Edward Pilon Jr. | Orthopaedic Surgery | W4933 Palisades Trail, Sherwood, WI 54169 | 2009-10-05 |
| 1356386155 | Family Focused Vision Care, LLC | Optometrist | W575 Castle Dr., Sherwood, WI 54169 | 2006-06-17 |
| 1487770467 | Sherwood Dental S.c. | Dentist | North 275 Military Rd., Sherwood, WI 54169 | 2007-03-22 |
| 1164546503 | Sidney B. Schulz | Dentist | North 275 Military Rd., Sherwood, WI 54169-0159 | 2007-03-19 |
| 1194079210 | Daul Anesthesia Inc | Nurse Anesthetist, Certified Registered | W4855 Mustang Dr, Sherwood, WI 54169-9505 | 2012-10-29 |
| 1053666768 | Peter Altfillisch | Pharmacist | W5077 Cherrywood Ct, Sherwood, WI 54169-9510 | 2012-07-18 |
| 1861023343 | Stephen M Kelly | Specialist/Technologist | N8021 Lake Breeze Dr, Sherwood, WI 54169-9613 | 2020-02-03 |
| 1578606208 | Christine Mary Matthias | Occupational Therapy Assistant | N8015 Lake Breeze Dr, Sherwood, WI 54169-9613 | 2007-02-14 |
| 1225389851 | Daniel Lee Preissner | Physical Therapy Assistant | N325 Military Rd, Sherwood, WI 54169-9661 | 2012-09-21 |
| 1467700237 | Deborah Rhea Malinowski | Registered Nurse | N7865 Edgewater Ct, Sherwood, WI 54169-9662 | 2012-08-27 |
| Find all providers in zip 54169 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033753165 | Nisreen Malik | Chiropractor | 20508 Sw Roy Rogers Rd # C-115, Sherwood, OR 97140-9932 | 2019-10-31 |
| 1124564224 | Spencer Hughes | Chiropractor | 17565 Sw Handley St Ste 100, Sherwood, OR 97140-8314 | 2017-01-12 |
| 1841734225 | Dr. Ben Pittman LLC | Chiropractor | 2116 E Kiehl Ave, Sherwood, AR 72120-3130 | 2016-12-05 |
| 1982147260 | Next Level Chiropractic of Sherwood | Chiropractor | 17565 Sw Handley St, 100, Sherwood, OR 97140-8314 | 2016-11-18 |
| 1417409061 | Advanced Accident Care Chiropractic LLC | Chiropractor | 16771 Sw 12th St. Suite E, Sherwood, OR 97140-6024 | 2016-10-31 |
| 1578731659 | Sherwood Chiropractic & Rehab Center P C | Chiropractor | 20055 Sw Pacific Hwy Ste 210, Sherwood, OR 97140-9294 | 2008-02-12 |
| 1407935307 | William Weippert Jr. | Chiropractor | 210 N Harrison Street, Sherwood, OH 43556 | 2006-11-03 |
| 1245315159 | Randy Luderman | Chiropractor | 210 N Harrison St, Sherwood, OH 43556-0547 | 2006-10-26 |
| 1588772677 | Engelhoven Chiropractic Pa | Chiropractor | 1409 E Kiehl Ave, Sherwood, AR 72120-3041 | 2006-08-28 |
| 1225143944 | Steve K Fender | Chiropractor | 2116 East Kiehl Ave, Sherwood, AR 72120 | 2006-08-20 |
| Find all providers in SHERWOOD | ||||
Please comment or provide details below to improve the information on DR. SHANNON PETERSON.
| 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.