Shannon Shun

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

200463 Issued in MN

Practice address

500 Park St E
Annandale, MN 55302-3060

Phone

(320) 274-3737

Fax

(320) 274-3631

NPI assigned

Apr 28, 2011

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Apr 28, 2011.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1982995627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 MEADOW DR",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK ST E",
            "city": "ANNANDALE",
            "state": "MN",
            "postal_code": "553023060",
            "telephone_number": "320-274-3737",
            "fax_number": "320-274-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUN",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "200463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Ramaley, PA-C
• Riley Raskob, DDS
• Room to Grow Therapy and Consulting
• Ashley Semann
• Hannah Shir, CNM
• Skilled Fitness & Therapy LLC
• Gwen A Stein, MD
• Nicholas Gene Stephens, LPN
• Jonathan Strohschein, MD
• Katie Nicole Tancabel, O.D.

• All providers in Annandale, MN
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.