Shawna Marie Oliver

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

22 Dana Dr
Bangor, ME 04401-2749

Phone

(207) 659-0475

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1871171686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DANA DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012749",
            "telephone_number": "207-659-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DANA DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012749",
            "telephone_number": "207-659-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN38683",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick A Oldenburg Jr., MD
• Frederick Parke Oldenburg, M.D.
• Alston Wayne Oliver, PH.D., LCPC
• Alyssa Paige Oliver
• Lisa Marie Oliver, LCPC-C
• Guillermo Olivos, M.D.
• Amity Hope Olmstead, LCPC
• Mira Regina Olson, M.D.
• Marie O. Omeler-Emile, DDS
• John Onori

• Health & Wellness Coach in Bangor, ME
• Providers in Bangor, ME by specialty
• Health & Wellness Coach in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.