SHANNON B. GLEASON APRN NPI 1366095820

NPI Information

NPI: 1366095820
Provider Name: SHANNON B. GLEASON, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OWENSBORO HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY
ZIP 42303
Phone: (270) 417-7500
Get Directions

Shannon B. Gleason, APRN is a family nurse practitioner in Owensboro, KY with 5 years of experience. Shannon B. Gleason, APRN NPI is 1366095820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY
ZIP 42303-774
Phone: (270) 417-7500
Fax: (270) 417-7509

The NPI 1366095820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2019 and was last updated on 9/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3013549	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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