SHANNON CARLSON (NPI# 1700285582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700285582 |
Entity Type | Individual |
Full Name | SHANNON CARLSON |
Practice Address |
3311 Riverbend Dr Springfield OR 97477-8800 |
Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
Practice Telephone | 5414844332 |
Practice Fax Number | 5413020786 |
Mailing Telephone | (360) 729-1459 |
Enumeration Date | 2014-08-18 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
201703390NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP 9380645 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 013393500 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
38135 Market Sq, Zephyrhills, FL 335427505 | 3525670188 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962046615 | Shannon Carlson | Counselor | 2683 Route 34, Oswego, IL 60543-8577 | 2019-11-05 |
1245325091 | Shannon L Carlson | Pharmacist | 1900 Ruddiman Dr, Muskegon, MI 49445-3148 | 2006-10-04 |
1689653826 | Shannon Carlson | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2006-01-16 |
Street Address |
3311 RIVERBEND DR |
City | SPRINGFIELD |
State | OR |
Zip Code | 97477-8800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154307528 | Hongsheng M Guo | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2005-12-19 |
1528516986 | Steven Lorenzen | Physician Assistant | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2016-09-14 |
1265872691 | Chinar Agarwal | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2013-06-30 |
1467738062 | Aaron Wayne Harding | Clinical Exercise Physiologist | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2011-10-26 |
1992099824 | Kenzie A Scheidt | Physician Assistant | 3311 Riverbend Dr, Oregon Cardiology, Springfield, OR 97477-8800 | 2011-06-08 |
1770725046 | Briana O'kelley | Physician Assistant | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2009-04-01 |
1568601607 | University Professional Services | General Practice | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2009-02-12 |
1548426414 | Mary A Costello | Nurse Practitioner | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2008-07-31 |
1841467347 | Eric Richard Muller | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2008-05-13 |
1528251618 | Manjunath Gopal Raju | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477 | 2007-08-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
Find all providers in zip 97477 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316565989 | Melanie Phillips | Nurse Practitioner | 140 W Main St Ste 100, Springfield, OH 45502-1369 | 2020-07-10 |
1649828120 | Dareth Elizabeth Fowler | Nurse Practitioner | 709 Deerfield Trl, Springfield, OH 45503-7445 | 2019-08-28 |
1578824983 | Daisy Seby | Nurse Practitioner | 86 Redwood Rd, Springfield, NJ 07081-2426 | 2012-06-01 |
1760741714 | Mini Jijo | Nurse Practitioner | 884 South Springfield Ave, #39, Springfield, NJ 07081-3314 | 2012-05-11 |
1326218843 | Laura Ann Reed | Nurse Practitioner | 30 W Mccreight Ave Ste 100, Springfield, OH 45504 | 2008-03-12 |
1669442182 | Lisa Erickson | Nurse Practitioner | 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 | 2006-01-26 |
1225639131 | Rachel M Carr | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2020-11-06 |
1902411424 | Samantha Gillespie | Nurse Practitioner | 1460 G St, Springfield, OR 97477-4112 | 2020-09-11 |
1649898065 | Jaines Milagros Andrades | Nurse Practitioner | 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 | 2020-07-13 |
1487288171 | Pamela Lomeli | Nurse Practitioner | 319 E Madison St Ste 1f, Springfield, IL 62701-3118 | 2020-03-03 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97477 |
Please comment or provide details below to improve the information on SHANNON CARLSON.
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.