Shannon L Kuntz

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

48629 Issued in NE

Practice address

2300 S 16TH St
Lincoln, NE 68502-3704

Phone

(402) 475-1011

Fax

(402) 481-4783

NPI assigned

Apr 9, 2015

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 L Stock Former name

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDJECD

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.

• Community Healthcare Partners NE LLC

  • Primary Care Clinic/Center
  • Lincoln, NE
  • NPI 1588242929
  Medicare reassignment NPD
• Inpatient Physician Associates, LLC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1699725358
  Medicare reassignment NPD
• Gateway Properties, Inc.

  • Skilled Nursing Facility
  • Lincoln, NE
  • NPI 1336184092
  NPD (past)
• Teledigm Physician Services, LLC

  • Specialist
  • Lincoln, NE
  • NPI 1548667256
  NPD (past)

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1154717817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PINE LAKE RD",
            "address_2": "SUITE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166035",
            "telephone_number": "402-421-1811",
            "fax_number": "402-421-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023704",
            "telephone_number": "402-475-1011",
            "fax_number": "402-481-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZ",
        "first_name": "SHANNON",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "48629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "STOCK",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saw Lah Kumoo
• Angella Kumwenda
• Ashley Kunath
• Garrett Allan Kunkee
• Breanne Kuntz, PA-C
• Jeanelle Kunz
• Mary Kuon
• Tungkang Kuon
• Robert J Kurasawa, PHARM.D., RPH
• Amanda J Kurtenbach, OTR/L

• Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.