Shannon Lane, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

13535-33 Issued in WI

Practice address

2807 N Ballard Rd
Appleton, WI 54911-8701

Phone

(920) 512-8822

NPI assigned

Aug 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1386428811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LAMINE LN",
            "city": "COMBINED LOCKS",
            "state": "WI",
            "postal_code": "541131100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118701",
            "telephone_number": "920-512-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "SHANNON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "13535-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Kay Lampe, APNP
• Steven Richard Lande, MSSW
• Elizabeth J Landmann, PA
• Michelle L. Landsverk, PT
• Kimberly Landwehr, O.D.
• Brian Anthony Lang, PHARMD
• Elise Lang, CNM
• Jason Lang, D.C.
• Jeffrey Robert Lang, DDS
• Catherine M Langdon Bougie, LPC, NCC

• Gerontology Nurse Practitioner in Appleton, WI
• Providers in Appleton, WI by specialty
• Gerontology Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.