Active NPI
Shannon Marie Hacka
- Other Technician
- Saint Paul, MN
National Provider Identifier
1003438037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1011 Meadowlands Dr Ste 1&2
Saint Paul, MN 55127-2339 - Phone
- (507) 322-7752
- NPI assigned
- May 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1011 Meadowlands Dr Ste 1&2
Saint Paul, MN 55127-2339
Mailing address
1680 Westminster St
Saint Paul, MN 55130-3039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1003438037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 WESTMINSTER ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551303039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 MEADOWLANDS DR STE 1&2",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551272339",
"telephone_number": "507-322-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKA",
"first_name": "SHANNON",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.