Shannon Marie Owen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N-33195 Issued in ID

Practice address

260 2ND Ave E
Twin Falls, ID 83301-6242

Phone

(208) 732-0959

Fax

(208) 732-7480

NPI assigned

Sep 12, 2022

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 Marie Easterday Kinyon & Andersen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1407578057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 2ND AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016242",
            "telephone_number": "208-732-0959",
            "fax_number": "208-732-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 2ND AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016242",
            "telephone_number": "208-732-0959",
            "fax_number": "208-732-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-33195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "EASTERDAY KINYON & ANDERSEN",
            "middle_name": "MARIE",
            "credential": "LPN & RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shane Michael Osgood, ATC, CEAS
• Joseph Eldon Ostler, M.D., PH.D.
• Paul G. Ostyn, MPT, MA
• Amanda Lynn Overacre, LCSW
• Amanda May Ovitt, OT
• Kevin Scott Owens, M.D.
• Princess Owusu
• Pacific Home Care LLC
• Pacific Home Care LLC
• Pacific Home Care LLC

• Registered Nurse in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.