SHANNON CARLSON


Address: 3311 Riverbend Dr, Springfield, OR 97477-8800
Phone: 5414844332

SHANNON CARLSON (NPI# 1700285582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 013393500 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
38135 Market Sq, Zephyrhills, FL 335427505 3525670188

Other Providers SHANNON CARLSON

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

Office Location

Street Address 3311 RIVERBEND DR
City SPRINGFIELD
State OR
Zip Code 97477-8800

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City SPRINGFIELD
Zip Code 97477

Improve Information

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Dataset Information

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.

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