Amber Christian Shannon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

163827 Issued in OH

Practice address

830 Boulevard St
Akron, OH 44311-1304

Phone

(330) 957-6595

NPI assigned

Dec 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1720380223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CARLYSLE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102929",
            "telephone_number": "330-903-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BOULEVARD ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111304",
            "telephone_number": "330-957-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "AMBER",
        "middle_name": "CHRISTIAN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401167231110",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "163827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101244",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Allan Shane, DPM
• Ryan Michael Shaner
• Breanne Shank, MSN, APRN, FNP-BC
• Alicia Marie Shanks
• Kelsey Shanks, OT
• Crystal Lucille Shannon, LPN
• Kalup Gil Shannon
• Shanti Home Health LLC
• Andrew Marc Shapiro, M.D.
• Sharon Shapiro, MD

• Licensed Practical Nurse in Akron, OH
• Providers in Akron, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.