Shanon Marjean Anderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

00097562RN Issued in OR

Practice address

520 NW Wall St
Bend, OR 97703-2608

Phone

(541) 213-9515

NPI assigned

May 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1811745441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032608",
            "telephone_number": "541-213-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032608",
            "telephone_number": "541-213-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHANON",
        "middle_name": "MARJEAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "00097562RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martika Anderson, LMT
• Matthew Anderson, DDS
• Sarah Joann Anderson
• Scott Draper Anderson
• Sean Patrick Anderson
• Suzanne Marie Anderson, LPC
• Tera McKenzie Anderson, B.A.
• Tristen Teasdale Anderson, M.A., OTR/L
• Victoria Winter Anderson, PA-C
• Emma Louise Andre, N.D.

• Registered Nurse in Bend, OR
• Providers in Bend, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.