SHANNON CLARK (NPI# 1366931552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366931552 |
| Entity Type | Individual |
| Full Name | SHANNON CLARK |
| Practice Address |
8201 S 61st St Lincoln NE 68516-5994 |
| Practice Telephone | 9312176445 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 78226 | NE | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | REGISTERRED NURSE LICENSE NUMBER | 78226 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457786675 | Shannon Clark | Occupational Therapy Assistant | 860 W 132nd Ave, Spc 268, Westminster, CO 80234-1499 | 2013-09-06 |
| 1881726271 | Shannon Denise Clark | Nurse Practitioner | 2 Easton Oval Ste 450, Columbus, OH 43219-6035 | 2007-03-12 |
| 1760537617 | Shannon Renee Clark | Nurse Practitioner | 3128 Santa Rita Rd, Suite C, Pleasanton, CA 94566-8300 | 2007-01-23 |
| 1700940855 | Shannon Jackie Clark | Contractor | 10750 S Knoll Crest Ln, Tucson, AZ 85706-9052 | 2006-12-21 |
| 1720089311 | Shannon Lynn Clark | Chiropractor | 423 Main St, Reinbeck, IA 50669-1049 | 2005-08-03 |
| 1487149373 | Shannon Clark | Counselor | 90 Hospital Dr, Athens, OH 45701-2301 | 2018-06-25 |
| 1679021448 | Shannon Lorraine Clark | Speech-Language Pathologist | 2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 | 2016-09-21 |
| 1508299777 | Shannon Joan Clark | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2013-08-12 |
| 1770916033 | Shannon M Clark | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2013-08-09 |
| 1700147436 | Shannon Clark | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2012-05-29 |
| Street Address |
8201 S 61ST ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-5994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554979 | David Hergenrader | Registered Nurse | 6000 Abigail Dr, Lincoln, NE 68516-3863 | 2020-03-23 |
| 1427691716 | Lauren Chiavetta | Registered Nurse | 1535 S 52nd St, Lincoln, NE 68506-1304 | 2019-10-20 |
| 1225503816 | Janice Eileen Maginn | Registered Nurse | 4710 N 72nd St, Lincoln, NE 68507-1522 | 2018-10-10 |
| 1568945871 | Kimberly Bax | Registered Nurse | 2030 W Garfield St, Lincoln, NE 68522-1453 | 2018-09-12 |
| 1649759556 | Sara Mares | Registered Nurse | 2210 Surfside Dr, Lincoln, NE 68528-2315 | 2018-08-10 |
| 1992207716 | Gina Kay Miller | Registered Nurse | 4221 Larkwood Rd, Lincoln, NE 68516-5161 | 2018-03-07 |
| 1326549247 | Heidi Stange | Registered Nurse | 2200 Pine Lake Rd, Lincoln, NE 68512-3600 | 2018-02-26 |
| 1477066587 | Anna J Cidlik | Registered Nurse | 3430 Allendale Dr, Lincoln, NE 68516-1033 | 2017-11-10 |
| 1477071058 | Tanya Loy Shaw | Registered Nurse | 7911 Myrtle St, Lincoln, NE 68506-3154 | 2017-09-05 |
| 1366969677 | Kari Lynn Goering | Registered Nurse | 5800 Hidcote Dr Ste 103, Lincoln, NE 68516-5536 | 2017-08-28 |
| Find all providers in LINCOLN | ||||
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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.