Active NPI
Shawna Marie Wilkie, RN
- Registered Nurse
- Circle Pines, MN
National Provider Identifier
1275839292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 191945-9
- Practice address
- 9378 Lexington Ave N
Circle Pines, MN 55014-1671 - Phone
- (763) 792-9471
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 191945-9 | MN | Primary |
Addresses
Primary practice location
9378 Lexington Ave N
Circle Pines, MN 55014-1671
Mailing address
1801 113TH Ave NW Apt 207
Coon Rapids, MN 55433-3730
Phone (612) 616-1523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191945-9 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1275839292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 113TH AVE NW APT 207",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333730",
"telephone_number": "612-616-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9378 LEXINGTON AVE N",
"city": "CIRCLE PINES",
"state": "MN",
"postal_code": "550141671",
"telephone_number": "763-792-9471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKIE",
"first_name": "SHAWNA",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "191945-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Circle Pines, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.