SHANNON K LEE (NPI# 1871824219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871824219 |
| Entity Type | Individual |
| Full Name | SHANNON K LEE |
| Credential | PA-C |
| Practice Address |
350 Heritage Way Suite 1200 Kalispell MT 59901-3158 |
| Practice Telephone | 4067526784 |
| Practice Fax Number | 4067564111 |
| Mailing Telephone | 4067526784 |
| Mailing Fax Number | 4067564111 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2012-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 603 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 1871824219 | 01 |
| MT | 1871824219 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476789 | Shannon Marie Lee | Doula | 2917 Boulder Dr, West Des Moines, IA 50265-4154 | 2015-05-12 |
| 1316286859 | Shannon L Lee | Massage Therapist | 614 E Seltice Way Ste A, Post Falls, ID 83854-6367 | 2013-02-04 |
| 1083832497 | Shannon Lee | Perfusionist | 68 Harriet St, Apt 16, San Francisco, CA 94103-4093 | 2007-04-23 |
| 1760514939 | Shannon Lee | Marriage & Family Therapist | 3111 Los Feliz Blvd Ste 106, Los Angeles, CA 90039 | 2007-03-12 |
| 1811598196 | Shannon C. Lee | Behavior Technician | 7090 Samuel Morse Dr Ste 100, Columbia, MD 21046-3444 | 2020-11-04 |
| 1083232938 | Shannon Randa Lee | Nurse Practitioner | 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 2020-07-08 |
| 1114549151 | Shannon Nicole Lee | Behavior Technician | 1360 Porter St, Dearborn, MI 48124-2890 | 2020-05-13 |
| 1114559069 | Shannon Michelle Lee | Specialist/Technologist | 200 Prospect St, East Stroudsburg, PA 18301-2956 | 2020-02-09 |
| 1710538616 | Shannon Jinho Lee | Pediatrics | 5901 Green Valley Cir Ste 130, Culver City, CA 90230-6900 | 2019-09-23 |
| 1558919449 | Shannon Eunhwa Lee | Optometrist | 3046 Knights Rd, Bensalem, PA 19020-2815 | 2019-09-03 |
| Street Address |
350 HERITAGE WAY SUITE 1200 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718389 | Drew L. Kirshner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Heritage Way, Ste 2100, Kalispell, MT 59901-3158 | 2005-05-31 |
| 1154693729 | Alyssa M. Stone | Physician Assistant | 350 Heritage Way, Suite 2100, Kalispell, MT 59901-3158 | 2012-01-30 |
| 1285904599 | Kalispell Regional Medical Center Inc | Clinic/Center | 350 Heritage Way, Suite 1100, Kalispell, MT 59901-3158 | 2012-01-03 |
| 1235409640 | Kalispell Regional Medical Center Inc | Clinic/Center | 350 Heritage Way, Suite 2100, Kalispell, MT 59901-3158 | 2012-01-03 |
| 1053688705 | Raymond Tabo Saito | Physician Assistant | 350 Heritage Way, Suite 1200, Kalispell, MT 59901-3158 | 2011-11-23 |
| 1962705376 | Kalispell Regional Medical Center Inc | Internal Medicine | 350 Heritage Way, Suite 1100, Kalispell, MT 59901-3158 | 2010-12-08 |
| 1497065072 | Kim T Conlin | Physician Assistant | 350 Heritage Way, Suite 2300, Kalispell, MT 59901-3158 | 2010-10-15 |
| 1396978128 | Rawa Sarji | Internal Medicine | 350 Heritage Way, Suite 2100, Kalispell, MT 59901-3158 | 2009-08-27 |
| 1659514149 | Mark Erich Magill | Orthopaedic Surgery | 350 Heritage Way, Suite 1200, Kalispell, MT 59901-3158 | 2009-04-13 |
| 1972745180 | Geraldine Sheu | Urology | 350 Heritage Way, Suite 2300, Kalispell, MT 59901-3158 | 2009-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023183993 | Susan Cahill | Physician Assistant | 40 2nd St E, Suite 225, Kalispell, MT 59901-6110 | 2006-11-22 |
| 1124197595 | Jill S Thorn | Physician Assistant | 210 Sunnyview Ln Ste 105, Kalispell, MT 59901-3128 | 2006-11-07 |
| 1578518692 | Kathleen White Wilson | Physician Assistant | 75 Claremont St Ste A, Kalispell, MT 59901-3500 | 2006-05-24 |
| 1104892678 | North Valley Hospital, Inc | Physician Assistant | 195 Commons Loop Ste D, Kalispell, MT 59901 | 2006-02-24 |
| 1073164257 | Kaitlyn Rose Sterry | Physician Assistant | 2316 Us Highway 93 N, Kalispell, MT 59901-2547 | 2019-09-27 |
| 1639617376 | Greta Beil | Physician Assistant | 1035 1st Ave W, Kalispell, MT 59901-5607 | 2017-02-02 |
| 1588116586 | Erik Hulebak | Physician Assistant | 1287 Burns Way, Kalispell, MT 59901-3109 | 2016-10-26 |
| 1639628761 | Mattie Murphy | Physician Assistant | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2016-09-30 |
| 1801261573 | Ross Richard Van Brunt | Physician Assistant | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2015-12-07 |
| 1164814836 | Justin Shobe | Physician Assistant | 205 Sunnyview Ln, Kalispell, MT 59901-3120 | 2015-03-04 |
| Find all providers in KALISPELL | ||||
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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.