MR. SHANNON CARL NELSON OTR
NPI 1104029388
General Acute Care Hospital in Red Lake, MN

Q: What is Shannon Nelson's NPI number?

The NPI number for Shannon Nelson is 1104029388. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Q: What is Shannon Nelson's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 06, 2007

HIGHWAY 1 BOX 497, RED LAKE, MN 56671(218) 679-3316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Shannon Carl Nelson Otr NPPES

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

MR. SHANNON CARL NELSON OTR (NPI 1104029388) is an individual general acute care hospital provider in Red Lake, Minnesota, licensed in Minnesota (102239) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1104029388

Entity TypeIndividualMale

Primary Taxonomy282N00000X

Provider Legal NameMR. SHANNON CARL NELSONCredential: OTR

Location AddressHIGHWAY 1 BOX 497Red Lake, MN 56671

Mailing AddressPo Box 299Bagley, MN 56621-0299 · (218) 679-3316 · Fax (218) 679-3990

Phone(218) 679-3316

Sole ProprietorYes

Enumeration DateJune 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104029388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in MN · 102239

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

HIGHWAY 1 BOX 497, Red Lake, MN 56671

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Other Identifiers 1

Other102239MN · Occupational Therapy Lic.

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 1104029388. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Shannon Nelson located?

Shannon Nelson practices at Highway 1 Box 497, Red Lake, MN 56671. The listed phone number is (218) 679-3316.

What is Shannon Nelson's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Shannon Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.