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SHANNON GROSSE
NPI 1194453738
Licensed Practical Nurse in Syracuse, NE

Active since August 11, 2022
1430 EDUCATION DR, SYRACUSE, NE 68446(402) 269-2388 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Grosse NPPES

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

SHANNON GROSSE (NPI 1194453738) is an individual licensed practical nurse in Syracuse, Nebraska, licensed in Nebraska (15980) and active in the NPI registry since August 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194453738
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANNON GROSSE
Location Address1430 EDUCATION DRSyracuse, NE 68446-4000
Mailing Address550 7th Street, -Syracuse, NE 68446 · (402) 269-5866
Phone(402) 269-2388
Sole ProprietorNo
Enumeration DateAugust 11, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1194453738 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 NE · 15980
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.
1430 EDUCATION DR, Syracuse, NE 68446
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Secondary Practice Locations 2

Location 11500 Education DrSyracuse, NE 68446-4001 · Phone (402) 269-2381
Location 2550 7th Street, -Syracuse, NE 68446 · Phone (402) 269-5866 ext. 1102

Other Identifiers 1

Medicaid15980NE

Other Providers at the Same Location NPPES 2

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

LORI LYNN MCELHENIE
Technician (Attendant Care Provider)
1430 EDUCATION DR
SYRACUSE, NE 68446
Otoe County (402) 269-2388
LACEE MAE BOYER-SEARS
Technician (Personal Care Attendant)
1430 EDUCATION DR
SYRACUSE, NE 68446
Otoe County (402) 269-2388

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 Grosse's NPI number?

The NPI number for Shannon Grosse is 1194453738. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Shannon Grosse located?

Shannon Grosse practices at 1430 Education Dr, Syracuse, NE 68446. The listed phone number is (402) 269-2388.

What is Shannon Grosse'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 Shannon Grosse was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.