Individual
DOROTHY SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, NP
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
080045016N5
OR
363LW0102X
Women's Health Nurse Practitioner
Primary
080045015
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R165420
MEDICARE PTAN
OR
Enumeration date
10/12/2006
Last updated
02/01/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up