Individual provider Active NPI

Shanna Lynn Hofland, RN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Willmar, MN
National Provider Identifier
1952876575
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
2201344 Issued in MN
Practice address
2300 1St St S
Willmar, MN 56201-4212
Phone
(320) 235-1930
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 2201344 MN
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 2201344 MN Primary

Addresses

Primary practice location

2300 1St St S
Willmar, MN 56201-4212

Mailing address

2300 1St St S
Willmar, MN 56201-4212
Phone (320) 235-1930

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2201344MNMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
White Drug Enterprises Inc Past Accepting new patients
White Drug Enterprises Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1952876575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 1ST ST S",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014212",
            "telephone_number": "320-235-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 1ST ST S",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014212",
            "telephone_number": "320-235-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFLAND",
        "first_name": "SHANNA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "2201344",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MN",
            "license": "2201344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.