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SHANNON L NOLAN PA-C
NPI 1063430841
Physician Assistant - Surgical in Omaha, NE

Active since July 18, 2006
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154(402) 496-0404(402) 496-0517 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon L Nolan Pa-c NPPES

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

SHANNON L NOLAN PA-C (NPI 1063430841) is an individual surgical provider in Omaha, Nebraska, licensed in Nebraska (1206) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1063430841
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHANNON L NOLANCredential: PA-C
Location Address13616 CALIFORNIA ST, STE 100Omaha, NE 68154-5335
Mailing Address13616 California St, Ste 100Omaha, NE 68154-5335 · (402) 496-0404 · Fax (402) 496-0517
Phone(402) 496-0404
Fax(402) 496-0517
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJanuary 28, 2009
✔ NPI 1063430841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NE · 1206
13616 CALIFORNIA ST, Omaha, NE 68154
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Other Identifiers 5

OtherP00337631NE · Rr Medicare
Other68154A022NE · Tricare
Other279884NE · Medicare
Other37976NE · Bcbs
Medicaid47081304012NE

Other Providers at the Same Location NPPES 18

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

DR. JONATHAN ELLIS FULLER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154
Douglas County (402) 496-0404
RACHEL A GUSSE PT
Physical Therapist
13616 CALIFORNIA ST
OMAHA, NE 68154
Douglas County (402) 496-0404
DR. JOHN WILLIAM MCCLELLAN III M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154
Douglas County (402) 496-0404
MICHELLE WHITE ATC, CSCS
Specialist/Technologist (Athletic Trainer)
13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154
Douglas County (402) 496-0404
DR. COREY JOSEPH CAMPBELL D.C.
Chiropractor
13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154
Douglas County (402) 496-0404
MS. SARAH STAMM PA-C
Physician Assistant (Surgical)
13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154
Douglas County (402) 496-0404
PATRICK MCCLAUGHRY PA-C
Physician Assistant (Surgical)
13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154
Douglas County (402) 496-0404
DR. HOWARD RANDAL WOODWARD M.D.
Orthopaedic Surgery
13616 CALIFORNIA ST, STE 100
OMAHA, NE 68154
Douglas County (402) 496-0404

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 Nolan's NPI number?

The NPI number for Shannon Nolan is 1063430841. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Shannon Nolan located?

Shannon Nolan practices at 13616 California St Ste 100, Omaha, NE 68154. The listed phone number is (402) 496-0404.

What is Shannon Nolan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Shannon Nolan was last updated on January 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.