Individual provider Active NPI

Shanna Lee Booe, LPN

  • Licensed Practical Nurse
  • Sioux City, IA
National Provider Identifier
1639748650
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
P43711 Issued in IA
Practice address
2800 W 4TH St Apt 8-3B
Sioux City, IA 51103-5134
Phone
(712) 223-4484
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X P43711 IA Primary

Addresses

Primary practice location

2800 W 4TH St Apt 8-3B
Sioux City, IA 51103-5134

Mailing address

2800 W 4TH St Apt 8-3B
Sioux City, IA 51103-5134
Phone (712) 223-4484

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Sbooe@unomaha.edu Direct University of Nebraska at Omaha
Direct Messaging Address Sbooe@unomaha.edu Direct University of Nebraska at Omaha

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P43711IAMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: sbooe@unomaha.edu

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1639748650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 4TH ST APT 8-3B",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511035134",
            "telephone_number": "712-223-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 4TH ST APT 8-3B",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511035134",
            "telephone_number": "712-223-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOE",
        "first_name": "SHANNA",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "P43711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sbooe@unomaha.edu",
            "affiliation": "Y",
            "endpointDescription": "Professional Email",
            "affiliationName": "University of Nebraska at Omaha",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6001 Dodge St",
            "address_2": "HPER 1st Floor",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681822000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sbooe@unomaha.edu",
            "affiliation": "Y",
            "endpointDescription": "Professional Email",
            "affiliationName": "University of Nebraska at Omaha",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6001 Dodge St",
            "address_2": "HPER 1st Floor",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681822000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.