Individual provider Active NPI

Priscilla Ann Shannon, RN

  • Registered Nurse
  • Walton, NE
National Provider Identifier
1811860935
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
92146 Issued in NE
Practice address
11737 Seabiscuit LN
Walton, NE 68461-9590
Phone
(775) 781-0846
NPI assigned
Sep 25, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
92146NEMDRegistered 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.

Verify at the official NPI Registry.