Rebecca Marie Shannon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

140332 Issued in OH

Practice address

444 Adelite Ave
Dayton, OH 45417-3208

Phone

(937) 701-1927

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1114234507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ADELITE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173208",
            "telephone_number": "937-701-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ADELITE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173208",
            "telephone_number": "937-701-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "140332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Francis Shank, MD
• Shanese Lynette Shanklin, MOT, OTR/L
• Shannon N. McAfee, D.O., LLC
• Amanda A Shannon
• Brooke Shannon, LDO
• Shanti Wellness
• Aleeya Shareef
• Yousif Saeed-Mohamed Shareef, MD
• Dipendra Sharma Chapagain, DO
• Kanan Sharma, MD

• Licensed Practical Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.