Charlene Shannon-Bennett, STNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

401217520311 Issued in OH

Practice address

17731 Lake Shore Blvd Apt 15
Cleveland, OH 44119-2600

Phone

(216) 420-3655

NPI assigned

May 15, 2017

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

State licenses

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578090023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17731 LAKE SHORE BLVD APT 15",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192600",
            "telephone_number": "216-420-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17731 LAKE SHORE BLVD APT 15",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192600",
            "telephone_number": "216-420-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON-BENNETT",
        "first_name": "CHARLENE",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401217520311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnee Shankel
• Raelynne Macbeth Shanker, MD
• Jacob Scott Shanklin, MA, PCC
• Johnathan Shanklin, MD
• Lateya Shanklin
• Devin Shannon, FNP-C
• Katherine Mary Shannon, FNP
• Virginia Shannon
• Prapaporn Shantavasinkul
• Rachel Shantery

• Nurse's Aide in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.