Active NPI
Shannon Henaman-Thompson, LPN
- Licensed Practical Nurse
- Osage, IA
National Provider Identifier
1861719361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 309506-031
- Practice address
- 2959 360TH St
Osage, IA 50461-8517 - Phone
- (507) 440-7181
- NPI assigned
- Apr 23, 2010
- Last updated
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 309506-031 | WI | Primary |
Addresses
Primary practice location
2959 360TH St
Osage, IA 50461-8517
Mailing address
2959 360TH Street
Osage, IA 50461
Phone (507) 440-7191
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309506-031 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1861719361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2959 360TH STREET",
"city": "OSAGE",
"state": "IA",
"postal_code": "50461",
"telephone_number": "507-440-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 360TH ST",
"city": "OSAGE",
"state": "IA",
"postal_code": "504618517",
"telephone_number": "507-440-7181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENAMAN-THOMPSON",
"first_name": "SHANNON",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "309506-031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osage, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.