Active NPI
Priscilla Ann Shannon, RN
- Registered Nurse
- Walton, NE
National Provider Identifier
1811860935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 92146
- Practice address
- 11737 Seabiscuit LN
Walton, NE 68461-9590 - Phone
- (775) 781-0846
- NPI assigned
- Sep 25, 2025
- Last updated
- Sep 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 92146 | NE | Primary |
Addresses
Primary practice location
11737 Seabiscuit LN
Walton, NE 68461-9590
Mailing address
11737 Seabiscuit LN
Walton, NE 68461-9590
Phone (775) 781-0846
Other practice location 1
5909 O Street
Lincoln, NE 68510
Phone (402) 436-1000
Other practice location 2
5055 A St Ste 100
Lincoln, NE 68510-4970
Phone (402) 480-7222
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92146 | NE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1811860935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11737 SEABISCUIT LN",
"city": "WALTON",
"state": "NE",
"postal_code": "684619590",
"telephone_number": "775-781-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11737 SEABISCUIT LN",
"city": "WALTON",
"state": "NE",
"postal_code": "684619590",
"telephone_number": "775-781-0846"
}
],
"practiceLocations": [
{
"address_1": "5909 O Street",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "68510",
"country_code": "US",
"telephone_number": "402-436-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5055 A St Ste 100",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685104970",
"country_code": "US",
"telephone_number": "402-480-7222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANNON",
"first_name": "PRISCILLA",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "92146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walton, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.