Shannon C Birmingham

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L033710 Issued in AR

Practice address

55 River Ridge Rd
Heber Springs, AR 72543-9400

Phone

(501) 206-2060

NPI assigned

Jul 29, 2026

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": "1785283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1942122007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RIVER RIDGE RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725439400",
            "telephone_number": "501-206-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 RIVER RIDGE RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725439400",
            "telephone_number": "501-206-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRMINGHAM",
        "first_name": "SHANNON",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L033710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Raedeane Baureis, APRN
• Amber Nashell Bell, OTR/L
• William D. Bell, P.D.
• Kendra Benson
• Jessica Bierma, COTA
• Jennifer Brooke Bise
• Bivins Family Medicine, PA
• Franklin G Bivins Jr., M.D.
• Suzanna C Blackburn, APN
• Hayley Jordan Blackwood, PTA

• Licensed Practical Nurse in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.