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1982147393 NPI number — SHANNON OSBORNE MPH, CNM, WHNP

NPI Number: 1982147393
Health Care Provider/Practitioner: SHANNON OSBORNE MPH, CNM, WHNP

Information about “1982147393” NPI (SHANNON OSBORNE MPH, CNM, WHNP) exists in 1982147393 in HTML format HTML  |  1982147393 in plain Text format TXT  |  1982147393 in PDF (Portable Document Format) PDF  |  1982147393 in an XML format XML  formats.

NPI Number : 1982147393 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982147393",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSBORNE",
    "FirstName": "SHANNON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MPH, CNM, WHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2900 DOOLITTLE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELLSWORTH AFB",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57706-4821",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2900 DOOLITTLE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELLSWORTH AFB",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57706-4821",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-385-3494",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/02/2016",
    "LastUpdateDate": "03/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171000000X",
          "TaxonomyName": "Military Health Care Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "176B00000X",
          "TaxonomyName": "Midwife",
          "LicenseNumber": "CNM03795",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "CNP020326",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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