Shannon Marie Neil

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2013000059 Issued in MO

Practice address

6700 Antioch Rd
Suite 120
Merriam, KS 66204-1497

Phone

(972) 567-8304

Fax

(913) 652-9198

NPI assigned

Feb 11, 2013

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 Marie Tippens Former name

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1124367115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8839 N BALES AVE",
            "address_2": "APT/SUITE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641568939",
            "telephone_number": "972-567-8304",
            "fax_number": "913-652-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ANTIOCH RD",
            "address_2": "SUITE 120",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041497",
            "telephone_number": "972-567-8304",
            "fax_number": "913-652-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIL",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2013000059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "TIPPENS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha E Murdock
• Daniel J Murphy, M.D.
• Mallory Kaylin-Elizabeth Myers
• Ami C Neder, PT, DPT
• Taylor Needham
• Bryan Claude Nelson, MD
• Karie K Nelson, O.T.
• Kasey Lorayne Nelson
• Zachary Lee Nelson, DC
• Anne Neuer, DPT

• Occupational Therapist in Merriam, KS
• Providers in Merriam, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.