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SHANNON NELSON
NPI 1033836804
Peer Specialist in Bend, OR

Active since October 24, 2022
1340 NW WALL ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Nelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON NELSON (NPI 1033836804) is an individual peer specialist in Bend, Oregon and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1033836804
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHANNON NELSON
Location Address1340 NW WALL STBend, OR 97703-1985
Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 23, 2022
✔ NPI 1033836804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1340 NW WALL ST, Bend, OR 97703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER KRISTINE WELKER O.T.
Occupational Therapist
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
RACHEL ANADY
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
KELLY ANGELA OVERDORF
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
TERESA SCOTT DEL PRETE QMHA, CADC, PSS
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
MOLLY MARIE GARCIA-KAER M.A.
Counselor (Professional)
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
MELISSA JOI LOPEZ
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
CHELSEA AINSWORTH CASE MANAGER
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
TAYLA ELIZABETH MACPHERSON
Counselor (Mental Health)
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Nelson's NPI number?

The NPI number for Shannon Nelson is 1033836804. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Shannon Nelson located?

Shannon Nelson practices at 1340 NW Wall St, Bend, OR 97703. The listed phone number is (541) 322-7500.

What is Shannon Nelson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shannon Nelson was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.