SHANNON R MERK (NPI# 1962057935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962057935 |
Entity Type | Individual |
Full Name | SHANNON R MERK |
Credential | ARNP AGNP-C |
Practice Address |
2720 Stone Park Blvd Sioux City IA 51104-3734 |
Practice Telephone | 7122793500 |
Mailing Telephone | 7122793500 |
Enumeration Date | 2019-08-07 |
Last Update Date | 2019-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | H107028 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
H107028 | IA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
H107028 | IA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
H107028 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2720 STONE PARK BLVD |
City | SIOUX CITY |
State | IA |
Zip Code | 51104-3734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285694497 | Eric Luebbert | Radiology | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2006-03-23 |
1972100618 | David Tillman | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-10-06 |
1609487867 | Kay Lynn Erickson | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-08-12 |
1790301182 | Allen Cogswell | Anesthesiology | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-06-22 |
1063038420 | Patrick Menke | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-06-22 |
1215550165 | Emily London | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-05-27 |
1083243000 | Brianna Lynn Sommervold | Social Worker | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-04-02 |
1851921332 | Amanda Joy Versteeg | Nurse Anesthetist, Certified Registered | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2020-01-23 |
1710534219 | Rebekah A Morgan | Physician Assistant | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2019-08-20 |
1902452030 | Erin Michelle Mothershead | Nurse Practitioner | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2019-08-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578944435 | Family First Dental Associates of Iowa, P.C. | Dentist | 2100 Indian Hills Drive, Sioux City, IA 51104 | 2015-06-16 |
1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
1790811024 | Fred R Rizk | Dentist | 1923 Nebraska Street, Siuox City, IA 51104 | 2007-02-23 |
1255474029 | Edilia Maria Marshall | Dentist | Summit Dental, 2114 Pierce St, Sioux City, IA 51104 | 2007-02-14 |
1063553410 | Thomas Leonard Tiedeman | Dentist | 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 | 2007-02-09 |
1336209188 | Shawn Robert Walton | Dentist | 2410 Pierce Street, Sioux City, IA 51104 | 2006-12-11 |
1477649556 | Timothy R Kuntz | Dentist | 3012 Hamilton Blvd, Sioux City, IA 51104 | 2006-10-05 |
1528162732 | Duane Kent Nelson | Orthopaedic Surgery | 2800 Peirce St, Suite 101, Sioux City, IA 51104 | 2006-09-08 |
1659482206 | Shawn R Walton | Dentist | 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 | 2006-08-31 |
Find all providers in zip 51104 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356865042 | Peggy Sue Deboer | Nurse Practitioner | 1200 Tri View Ave, Sioux City, IA 51103-4900 | 2017-08-03 |
1831152925 | Shari L Black | Nurse Practitioner | 230 Nebraska St, Sioux City, IA 51101-1733 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003414004 | Daniel Timothy Holthaus | Nurse Practitioner | 1403 Mckinley Pl, Iowa City, IA 52246-4142 | 2020-10-12 |
1942814462 | Caroline E Marcotte | Nurse Practitioner | 5 Mark Twain Ct, North Liberty, IA 52317-9675 | 2020-09-02 |
1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
1053942789 | Marcia Hester | Nurse Practitioner | 969 E St, Conroy, IA 52220-7701 | 2020-01-31 |
1265910939 | Barbara Ann Peterson | Nurse Practitioner | 613 E Bloomington St Ste 100, Iowa City, IA 52245-2601 | 2018-08-03 |
1700398377 | Eve Sheehan | Nurse Practitioner | 1129 Mlk Jr Pkwy, Des Moines, IA 50314-1204 | 2017-11-03 |
1962855148 | Marsan Klein | Nurse Practitioner | 2930 E Euclid Ave, Des Moines, IA 50317-3840 | 2016-07-22 |
1366815391 | Chelsey Zitelman | Nurse Practitioner | 110 King St, Fayette, IA 52142-9735 | 2015-11-13 |
1942686811 | Cindy Ann Grow | Nurse Practitioner | 45 W Jefferson St Apt 318, Waterloo, IA 50701-1331 | 2015-08-03 |
1447680848 | Mindy Jo Roberts | Nurse Practitioner | 2600 Dodge St Ste D4, Dubuque, IA 52003-7161 | 2013-11-21 |
Find all providers with the same taxonomy |
City | SIOUX CITY |
Zip Code | 51104 |
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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.