Shannon Deanne Schwartz, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

244009-30 Issued in WI

Practice address

2360A Duck Creek Pkwy Ste 2
Green Bay, WI 54303-3377

Phone

(920) 301-3024

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shannon Deanne Rasmussen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwoods Family Physical Medicine of Wisconsin, S.C.

  • Medical Specialty Clinic/Center
  • Green Bay, WI
  • NPI 1518446558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1033689633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 S TIMBER TRL",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "541738264",
            "telephone_number": "920-412-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360A DUCK CREEK PKWY STE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033377",
            "telephone_number": "920-301-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "SHANNON",
        "middle_name": "DEANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "244009-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "RASMUSSEN",
            "middle_name": "DEANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Schwalbach, RN
• Linda Ann Schwallie, RN LPC
• Gerald Robert Schwan, M.S.W.
• Cassandra J Schwartz, PA-C
• Heather Lee Schwartz, AU.D.
• Kathy Schwartzlow Jensen
• Amy Jo Schwarzenbart, APNP, PMHCNS-BC, RN
• Bryan R Schwebke, DPT
• Martin Edward Schweiner, CRNA
• Christen Alice Schwerma, APNP

• Registered Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.