Shannon Leslee Isom, RNCRD

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN13811 Issued in NV

Practice address

6850 N Durango Dr
Ste 301
Las Vegas, NV 89149-4595

Phone

(702) 641-8500

Fax

(702) 641-8502

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Ms. Shannon Leslee Ence Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Damaj Horizon View Medical Center, PC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1740475664
  NPD (past)
• Center for Neurosurgery(Glickman) PLLC

  • Neurological Surgery Physician
  • Miramar Beach, FL
  • NPI 1144849738
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1184846107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33166",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333166",
            "telephone_number": "702-641-8500",
            "fax_number": "702-641-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR",
            "address_2": "STE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494595",
            "telephone_number": "702-641-8500",
            "fax_number": "702-641-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "SHANNON",
        "middle_name": "LESLEE",
        "name_prefix": "Ms.",
        "credential": "RNCRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NV",
            "license": "RN13811",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN 13811",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NV",
            "license": "RN13811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN13811",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICIAD",
            "identifier": "100500484",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DIABETES EDUCAT",
            "identifier": "RDCDE",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "ENCE",
            "middle_name": "LESLEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blair Abbott Isom, D.D.S., F.A.G.D.
• Blair Alexander Isom, D.D.S.
• James Isom, DPT
• Nashira Isom
• Naysha Mya Isom, M.D.
• Ivy I Ison
• Joash Isoto
• Ariana Ispiryan
• Jaelin Murphy Isquith, B.A.
• Israel J Alvarado MD PC

• Diabetes Educator Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diabetes Educator Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.