Shannon Weed

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

101 1St St
Oconto, WI 54153-1117

Phone

(920) 834-4575

NPI assigned

Aug 18, 2019

Last updated

Aug 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1831745546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6444 TWO MILE RD",
            "city": "PORTERFIELD",
            "state": "WI",
            "postal_code": "541599343",
            "telephone_number": "715-923-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST ST",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531117",
            "telephone_number": "920-834-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEED",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Lakes Community Health Center, Inc (NorthLakes Community Clinic)
• Coral A Thomson, DPT
• Amber M Trepanier, RDH
• Tim Van Der Perren
• Rebecca M. Vissers, APNP
• Joshua Ammon Weenig, DMD
• Amanda K Westmoreland, PA
• Kyle Whiteside, DMD
• Julie A Whitworth, MS
• Wisconsin Sports Medicine and Orthopedics,S.C.

• Occupational Therapy Assistant in Oconto, WI
• Providers in Oconto, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.