Shannon Nichole Wine, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Practice address

12 Moore Rd
Cape May Court House, NJ 08210-1654

Phone

(609) 465-1260

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538289079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ROSE LN",
            "city": "VILLAS",
            "state": "NJ",
            "postal_code": "082512151",
            "telephone_number": "609-886-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MOORE RD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101654",
            "telephone_number": "609-465-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINE",
        "first_name": "SHANNON",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Weiss, OT
• Robert J Weiss, M.D.
• Liberty Herkness Wetherill, MA
• William F McLay,DO.PA.
• John A Wilson, DPT
• Brian Seth Winters, M.D.
• Kelly Winters, LCSW
• Danilo G Ybanez, D.M.D.
• Muhammad Haris Zahid, MD
• Zak Behavioral Healthcare Corp

• Licensed Practical Nurse in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.