Individual provider Active NPI

Shannon Noelle Stevenson, ARNP

  • Pediatric Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1750032447
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
A165245 Issued in IA
Practice address
2534 Glenn Ave
Sioux City, IA 51106-2768
Phone
(712) 274-7822
Fax
(712) 274-2556
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X A165245 IA Primary

Addresses

Primary practice location

2534 Glenn Ave
Sioux City, IA 51106-2768

Mailing address

1125 Pierce St Ste 100
Sioux City, IA 51105-1484
Phone (712) 255-8901

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
A165245IAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care of Siouxland PLC CurrentSince Sep 1, 2023 Accepting new patients
Family Health Care of Siouxland LLC Past Accepting new patients

Locations

1125 Pierce St
Sioux City, IA 51105
Phone (712) 255-8901

1125 Pierce St
Ste 100
Sioux City, IA 51105
Phone (712) 255-8901

814 Pierce St
Ste 300
Sioux City, IA 51101
Phone (712) 226-2600

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

Interoperability endpoints

  • Direct secure messaging: shannonstevenson@fhcs.allscriptsdirect.net
  • Direct secure messaging: shannonstevenson@pp.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1750032447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PIERCE ST STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051484",
            "telephone_number": "712-255-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062768",
            "telephone_number": "712-274-7822",
            "fax_number": "712-274-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "SHANNON",
        "middle_name": "NOELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "A165245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 13, 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.