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PATRICIA SHANNON
NPI 1174049209
Licensed Practical Nurse in Decatur, IL

Active since August 21, 2017
151 N MAIN ST, DECATUR, IL 62523(217) 362-6262 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Patricia Shannon NPPES

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

PATRICIA SHANNON (NPI 1174049209) is an individual licensed practical nurse in Decatur, Illinois, licensed in Illinois (043042053) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1174049209
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePATRICIA SHANNON
Location Address151 N MAIN STDecatur, IL 62523
Mailing Address151 N Main StDecatur, IL 62523-1206
Phone(217) 362-6262
Sole ProprietorNo
Enumeration DateAugust 21, 2017
✔ NPI 1174049209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043042053
Definition

A licensed practical nurse 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.

151 N MAIN ST, Decatur, IL 62523
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Other Identifiers 1

Medicaid1639231731IL

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.

BHASKAR R DAMERA MD
Psychiatry & Neurology (Psychiatry)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
STEVEN J LAFLEUR
Counselor
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
GLORIA J MARSHALL
Registered Nurse (Administrator)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
JERRI J FURR
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
CHERYL JANENE PEYTON
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
CYNTHIA M DARE
Counselor
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
CYNTHIA B DICKERSON
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
E DENNISE SPENCER
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262

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 Patricia Shannon's NPI number?

The NPI number for Patricia Shannon is 1174049209. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Patricia Shannon located?

Patricia Shannon practices at 151 N Main St, Decatur, IL 62523. The listed phone number is (217) 362-6262.

What is Patricia Shannon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Patricia Shannon was last updated on August 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.