Individual provider Active NPI

Shannon Kay Rhoton, MSN, FNP-BC

  • Family Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1083853675
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1072 Issued in AK
Practice address
1919 Lathrop St
Suite 217
Fairbanks, AK 99701-5930
Phone
(907) 456-8191
Fax
(907) 456-8192
NPI assigned
Feb 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1072 AK Primary
Family Nurse Practitioner 363LF0000X 2004031239 MO

Addresses

Primary practice location

1919 Lathrop St
Suite 217
Fairbanks, AK 99701-5930

Mailing address

1919 Lathrop St
Suite 217
Fairbanks, AK 99701-5930
Phone (907) 456-8191

Other names 1

  • Shannon Kay Whiting Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000427 AK Practitioner - Nurse Practitioner 6406903525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1072AKMDFamily Nurse Practitioner
2004031239MOMDFamily Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1083853675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 217",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015930",
            "telephone_number": "907-456-8191",
            "fax_number": "907-456-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 217",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015930",
            "telephone_number": "907-456-8191",
            "fax_number": "907-456-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOTON",
        "first_name": "SHANNON",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1072",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2004031239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WHITING",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.