HEIDI JO SHANNON (NPI# 1659635738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659635738 |
| Entity Type | Individual |
| Full Name | HEIDI JO SHANNON |
| Credential | NP |
| Practice Address |
900 E Broadway Ave Bismarck ND 58501-4520 |
| Mailing Address |
Po Box 160 Northwood ND 58267-0160 |
| Practice Telephone | 7015307000 |
| Mailing Telephone | 7015876000 |
| Mailing Fax Number | 7015876009 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R26834 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 N Park St, Northwood, ND 582674103 | 7015876000 | 7015876009 |
| Street Address |
900 E BROADWAY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087000 | Kym L Chandler | Neurological Surgery | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2005-07-19 |
| 1538769633 | Brenton Michael Green | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-10-28 |
| 1679186852 | Carly Marie Meyer | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-08-26 |
| 1164030169 | Heather Brooke Flaa | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-16 |
| 1699393454 | Alexis Schulz | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-08 |
| 1457971012 | Byul You | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-23 |
| 1962021618 | Amanda Mcglasson | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-13 |
| 1336772839 | Deanne Hice | Nurse Anesthetist, Certified Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-02-13 |
| 1538707898 | Jenna Etzold | Psychologist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-12-18 |
| 1548811169 | Sarah Skeie | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304695 | Transitions Healthcare Pllc Dba Transitions Healthcare | Nurse Practitioner | 7500 Sentinel St, Bismarck, ND 58504-9615 | 2020-10-22 |
| 1871154211 | Chelsea Vollmer | Nurse Practitioner | 4535 Northern Sky Dr Ste 1, Bismarck, ND 58503-8539 | 2019-06-26 |
| 1700446192 | Mckinzie Marie Nuss | Nurse Practitioner | 3201 Rutland Dr, Bismarck, ND 58504-7602 | 2019-06-18 |
| 1609277144 | Katie Horner | Nurse Practitioner | 4503 Coleman St, Suite 208, Bismarck, ND 58503-2006 | 2014-09-15 |
| 1811302623 | Jeremy Melander | Nurse Practitioner | 310 N. 9th Street, Bismarck, ND 58501 | 2014-07-01 |
| 1710392600 | Mary Eggers | Nurse Practitioner | 300 North Seventh Street, Bismarck, ND 58501 | 2014-06-30 |
| 1457766073 | Altegra Health Connections, LLC | Nurse Practitioner | 314 E Thayer Ave, Bismarck, ND 58501-4018 | 2014-06-23 |
| 1801105531 | Ian L. Greybull | Nurse Practitioner | 300 West Century Ave, Bismarck, ND 58503 | 2010-09-29 |
| 1952454829 | Jolene Engelhart | Nurse Practitioner | 1229 Laramie Dr, Bismarck, ND 58504-6441 | 2007-01-22 |
| 1710074570 | Bonnie Lou Clark | Nurse Practitioner | 200 East Main Avenue, Suite 202, Bismarck, ND 58501 | 2006-10-05 |
| Find all providers in BISMARCK | ||||
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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.