Shannon Umberger, RN
Individual provider Active NPI Critical Care Medicine Registered Nurse · Wichita, KS
NPI 1134835127 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1134835127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- 109516 (KS)
- Practice address
- 5500 E Kellogg Dr
Wichita, KS 67218-1607 - Phone
- (316) 685-2221
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109516 | KS | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 109516 | KS | Yes |
Addresses
Primary practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Mailing address
1416 N Rutgers St
Wichita, KS 67212-1169
Phone (760) 221-7234
Other providers in Wichita, KS
- Ultrasound Professionals, Inc.
- Ultrasource, Inc.
- Gregory T Ultzsch
- Jana E Ultzsch
- Joshua Jim Umbehr
- Joy M Umholtz
- Umlc LLC
- Unbound Mind and Wellness LLC
- Kristina Marie Underhill
- Cora Jean Underwood
All providers in Wichita, KS · Critical Care Medicine Registered Nurse in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.