Individual provider Active NPI

Shannon R. Diederich-Akins

  • Licensed Practical Nurse
  • Manhattan, KS
National Provider Identifier
1740620533
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
23-41527-102 Issued in KS
Practice address
1105 Sunset Ave
Manhattan, KS 66502-3739
Phone
(785) 532-6544
Fax
(785) 532-6627
NPI assigned
Jun 26, 2013
Last updated
Jun 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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 23-41527-102 KS Primary

Addresses

Primary practice location

1105 Sunset Ave
Manhattan, KS 66502-3739

Mailing address

1105 Sunset Ave
Manhattan, KS 66502-3739
Phone (785) 532-6544

Other names 1

  • Shannon R. Akins Professional name

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
23-41527-102KSMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1740620533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SUNSET AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023739",
            "telephone_number": "785-532-6544",
            "fax_number": "785-532-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SUNSET AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023739",
            "telephone_number": "785-532-6544",
            "fax_number": "785-532-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDERICH-AKINS",
        "first_name": "SHANNON",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KS",
            "license": "23-41527-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "AKINS",
            "middle_name": "R.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.