Christine a. Shaman, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

15592 Issued in MN

Legal business name

CHRISTINE A. SHAMAN, LLC

Practice address

3612 White Rose Ave
Burnsville, MN 55337-2402

Phone

(651) 492-0561

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Chirstine Shaman

Title

MSW, Licsw

Phone

(651) 492-0561

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1336586338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 WHITE ROSE AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 WHITE ROSE AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372402",
            "telephone_number": "651-492-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3917 Boardman St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554172254",
            "country_code": "US",
            "telephone_number": "651-492-0561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTINE A. SHAMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHAMAN",
        "authorized_official_first_name": "CHIRSTINE",
        "authorized_official_title_or_position": "MSW, LICSW",
        "authorized_official_telephone_number": "651-492-0561"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "15592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811037310",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Christensen
• Mallory Ashley Christensen
• Michelle Simonet Christian, NP
• Jean M Christiansen, OTR/L
• Robert Thomas Christie, M.D.
• Annalee Foncena Chu
• McKinley Chung
• Nyawuow Duach Chuol
• Josiah Cieluch
• Cindy a. Alland

• Community/Behavioral Health Agency in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.