SHANNON ELISE PETERSON (NPI# 1659982445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659982445 |
| Entity Type | Individual |
| Full Name | SHANNON ELISE PETERSON |
| Practice Address |
908 N Howard Ave Grand Island NE 68803-3556 |
| Practice Telephone | 3083986050 |
| Practice Fax Number | 3083986051 |
| Mailing Telephone | 3083986050 |
| Mailing Fax Number | 3083986051 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
12062 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316975683 | Shannon Peterson | Chiropractor | N275 Military Rd, Suite 2, Sherwood, WI 54169-9603 | 2006-06-28 |
| 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 |
908 N HOWARD AVE |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032501 | Steve F Anderson | Dentist | 908 N Howard Ave, Grand Island, NE 68803-3556 | 2005-06-02 |
| 1447614615 | Cfc Health Associates LLC | Nurse Practitioner | 908 N Howard Ave, Suite 102, Grand Island, NE 68803-3556 | 2016-04-13 |
| 1922463926 | Complete Family Care LLC | Nurse Practitioner | 908 N Howard Ave, Suite 108, Grand Island, NE 68803-3556 | 2015-12-18 |
| 1154762433 | Tina Jean Stringham | Nurse Practitioner | 908 N Howard Ave, Suite 108, Grand Island, NE 68803-3556 | 2013-07-15 |
| 1073793709 | Shane J. Burr | Physical Medicine & Rehabilitation | 908 N Howard Ave, Ste 105, Grand Island, NE 68803-3556 | 2007-11-09 |
| 1497952725 | The Mary Lanning Memorial Hospital Association | Internal Medicine | 908 N Howard Ave, Grand Island, NE 68803-3556 | 2007-06-29 |
| 1275612533 | Burrell J. Albee | Pharmacist | 908 N Howard Ave, Suite 108, Grand Island, NE 68803-3556 | 2006-11-06 |
| 1609966043 | Janet R. Jurgensen Duba Np | Nurse Practitioner | 908 N Howard Ave, Ste 102, Grand Island, NE 68803-3529 | 2006-10-14 |
| 1306952585 | Gary Douglas Camplin | Dentist | 908 N Howard Ave, Suite 103, Grand Island, NE 68803 | 2006-08-21 |
| 1548283211 | Stephen D Cain | Dentist | 908 N Howard Ave, Suite 106, Grand Island, NE 68803-3556 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1073128252 | Hilary J Pederson | Counselor | 2708 W Koenig St, Grand Island, NE 68803-5749 | 2020-09-14 |
| 1821628470 | Amy Elaine Aufenkamp | Counselor | 1811 W 2nd St Ste 105, Grand Island, NE 68803-5400 | 2020-01-23 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1740764372 | Elizabeth Ann Todd | Counselor | 1811 W 2nd St Ste 235, Grand Island, NE 68803-5463 | 2018-09-19 |
| 1922519206 | Staci Huston | Counselor | 404 W Charles St, Grand Island, NE 68801-6508 | 2017-10-13 |
| 1316460231 | Tammy Erickson Counseling, LLC | Counselor | 2121 N Webb Rd Ste 307, Grand Island, NE 68803-1751 | 2017-07-23 |
| 1093266462 | Jason Masker | Counselor | 131 Windham Ln, Grand Island, NY 14072-2099 | 2016-10-20 |
| 1477000925 | Kristy Hruby, Lmhp, Ladc | Counselor | 4131 Vermont Ave, Grand Island, NE 68803-1064 | 2016-09-01 |
| 1659736585 | Sarah Larsen Astrones PC | Counselor | 1811 W 2nd St Ste 475, Grand Island, NE 68803-5472 | 2015-12-18 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on SHANNON ELISE 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.