SHANNON C SCHAEFER (NPI# 1972616795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972616795 |
Entity Type | Individual |
Full Name | SHANNON C SCHAEFER |
Other Name | SHANNON C LEE |
Credential | PH.D. |
Practice Address |
2620 Stewart Ave Suite 318 Wausau WI 54401-4170 |
Practice Telephone | 7158429500 |
Practice Fax Number | 7158480425 |
Mailing Telephone | 7158429500 |
Mailing Fax Number | 7158480425 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2012-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
2632-057 | WI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245877083 | Shannon Schaefer | Social Worker | 7418 W Everell Ave, Chicago, IL 60631-1902 | 2019-11-27 |
1629501234 | Shannon Schaefer | Registered Nurse | 6804 77th Street Ct E, Puyallup, WA 98371-5594 | 2017-04-10 |
1972050094 | Shannon Schaefer | Occupational Therapist | 21000 S. Frankfort Square Rd, Ste D, Frankfort, IL 60423 | 2016-09-07 |
1013575307 | Shannon Lee Schaefer | Speech-Language Pathologist | 1745 S Alma School Rd Ste 145, Mesa, AZ 85210-3049 | 2019-05-31 |
1790192417 | Shannon Schaefer | Social Worker | 802 E Gorham St, Madison, WI 53703-1524 | 2014-07-15 |
Street Address |
2620 STEWART AVE SUITE 318 |
City | WAUSAU |
State | WI |
Zip Code | 54401-4170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841411659 | David E Krigbaum Dds Sc | Dentist | 2620 Stewart Ave, Suite 218, Wausau, WI 54401-4170 | 2007-05-01 |
1528285392 | Sandra J. Grass | Counselor | 2620 Stewart Ave, Ste 310, Wausau, WI 54401-4162 | 2007-04-20 |
1932322427 | Michael Miles | Dentist | 2620 Stewart Ave, Suite 212, Wausau, WI 54401-4170 | 2007-04-11 |
1275601940 | Steven B Demille | Dentist | 2620 Stewart Ave, Suite 214, Wausau, WI 54401-4170 | 2006-12-01 |
1730253147 | Patricia Ann Cotrone | Counselor | 2620 Stewart Ave, Suite 310, Wausau, WI 54401-4170 | 2006-11-17 |
1750453049 | David Edmund Krigbaum | Dentist | 2620 Stewart Ave, Suite 218, Wausau, WI 54401-4170 | 2006-11-14 |
1427144054 | Charis Counseling, LLC | Psychologist | 2620 Stewart Ave, Ste 310, Wausau, WI 54401 | 2006-10-04 |
1033211743 | Paul Scott Lewis | Dentist | 2620 Stewart Ave, Suite 216, Wausau, WI 54401-4170 | 2006-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
Find all providers in zip 54401 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063613065 | Steven A. Benson | Psychologist | 500 3rd St Ste 319-b, Wausau, WI 54403-4857 | 2007-05-29 |
1508926627 | Catherine Anne Ford Bard | Psychologist | 300 North Third Street, Suite 302, Wausau, WI 54403 | 2006-12-11 |
1790791606 | Nanette Marie Matthews | Psychologist | 901 N. 6th Street, Wausau, WI 54403 | 2006-07-31 |
1508807744 | Katherine A H Wright | Psychologist | 3600 Stewart Ave Ste B, Wausau, WI 54401-3944 | 2006-06-09 |
1831442359 | Behavioral Health Clinic, LLC | Psychologist | 630 S 36th Ave, Wausau, WI 54401-3930 | 2012-10-22 |
1588959571 | Laura B. Cowan Phd, LLC | Psychologist | 500 3rd St, Suite319b, Wausau, WI 54403-4885 | 2011-06-17 |
1497047799 | Laura B Cowan | Psychologist | 500 3rd St, Suite 319b, Wausau, WI 54403-4885 | 2011-05-05 |
1215238340 | Aspirus Clinics, Inc. | Psychologist | 333 Pine Ridge Blvd, Suite 217, Wausau, WI 54401-4120 | 2010-11-05 |
1356586713 | Steven A. Benson Phd, LLC | Psychologist | 500 3rd St, Suite 319b, Wausau, WI 54403-4885 | 2008-12-12 |
1487866455 | Allyson R. Ende | Psychologist | 3600 Stewart Ave, Suite B, Wausau, WI 54401-3944 | 2007-05-04 |
Find all providers in WAUSAU |
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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.