Active NPI
Shawn Ann Hannemann, M.S.
- Occupational Therapist
- Greendale, WI
National Provider Identifier
1861797201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 496926
- Practice address
- 5700 Mockingbird LN
Greendale, WI 53129-1442 - Phone
- (414) 421-9600
- NPI assigned
- Jan 16, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 496926 | WI | Primary |
Addresses
Primary practice location
5700 Mockingbird LN
Greendale, WI 53129-1442
Mailing address
1208 S 74TH St
West Allis, WI 53214-3009
Phone (920) 475-4138
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 496926 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295136000000",
"number": "1861797201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 S 74TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532143009",
"telephone_number": "920-475-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 MOCKINGBIRD LN",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291442",
"telephone_number": "414-421-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNEMANN",
"first_name": "SHAWN",
"middle_name": "ANN",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-16",
"last_updated": "2011-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "496926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.