Shannon L Childers-Page, CNS

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

28123065A Issued in IN

Practice address

1701 N Senate Blvd # A5231
Indianapolis, IN 46202-1239

Phone

(317) 962-1429

NPI assigned

Aug 20, 2010

Last updated

Apr 29, 2019By 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 2

Addresses

Other identifiers 1

Other names 1

• Shannon L Page Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1669788204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 TOWN CENTER ST N",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582316",
            "telephone_number": "317-497-6700",
            "fax_number": "317-497-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD # A5231",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS-PAGE",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71003354A",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "IN",
            "license": "28123065A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200996380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "PAGE",
            "middle_name": "L",
            "credential": "CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madeline Chikamba, MD
• Bryton Chikukwa
• Nneoma Chikwendu, RN
• Kimberlee Chilcote
• Child and Family Wellness Center
• Chad Emerson Childers, DO
• Donald Lee Childers, LCSW
• Jennifer May Childers, RN
• Lisa S Childers, MD
• Children Express Care Clinic LLC (Children Express Care Clinic)

• Acute Care Clinical Nurse Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Acute Care Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.