Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588924484 Individual Practitioner Female Practitioner

Nicole Shannon , LPN

Licensed Practical Nurse • Lima, OH

Professional Overview & Biography Verified Profile Summary

Nicole Shannon, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Lima, OH. Practice services are available at 799 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

799 S Main St

Lima, OH 458041519

Telephone 4192292222
Fax 4192292227
Associated Practice Facility / Clinic
🏢 Lutheran Social Services Facility NPI 1578896205

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lima, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Lima, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN.133352-M-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003319849

Licensed Social Worker

Krista Spicer , CPSS

Peer Specialist

NPI 1003405895
Janelle Schmucker

Case Manager/Care Coordinator

NPI 1013480623
Destinee Bridges

Case Manager/Care Coordinator

NPI 1013553270
Tammi Brown

Case Manager/Care Coordinator

NPI 1013560184
Chaylinn Hildreth

Case Manager/Care Coordinator

NPI 1013589555

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2017

Registered at 799 S MAIN ST, LIMA, OH 458041519 (Tel: 4192292222)

📍
Updated Business Mailing Address October 31, 2017

Registered at 5982 RHODES RD, KENT, OH 442404128 (Tel: 3306731347)

👤
Provider Name / Credentials Updated October 31, 2017

Recorded as NICOLE SHANNON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2017

Licensed Practical Nurse (License #PN.133352-M-IV in OH)

NPI Profile Active May 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2012

Registered at 799 S MAIN ST, LIMA, OH 458041519 (Tel: 4192292222)

📍
Updated Business Mailing Address May 24, 2012

Registered at 5982 RHODES RD, KENT, OH 442404128 (Tel: 3306731347)

👤
Provider Name / Credentials Updated May 24, 2012

Recorded as NICOLE KOEPER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2012

Licensed Practical Nurse (License #PN.133352-M-IV in OH)

🟢
Initial NPI Registration & Enumeration May 24, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588924484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2012
Last Update: October 31, 2017
Sole Proprietor: No

Mailing Address

5982 Rhodes Rd

Kent, OH 442404128

Phone: 3306731347

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.