Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON N SANDSTROM NP
NPI 1194778324
Nurse Practitioner - Adult Health in Randolph, WI

Q: What is Shannon Sandstrom's NPI number?

The NPI number for Shannon Sandstrom is 1194778324. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Shannon Sandstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Sandstrom was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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 May 18, 2006

137 CAMBRIA ST, RANDOLPH, WI 53956(920) 326-5303 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shannon N Sandstrom Np NPPES

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

SHANNON N SANDSTROM NP (NPI 1194778324) is an individual adult health provider in Randolph, Wisconsin, licensed in Wisconsin (2722) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1194778324

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHANNON N SANDSTROMCredential: NP

Location Address137 CAMBRIA STRandolph, WI 53956

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340

Phone(920) 326-5303

Sole ProprietorNo

Enumeration DateMay 18, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1194778324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in WI · 2722

137 CAMBRIA ST, Randolph, WI 53956

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

AGNESIAN HEALTHCARE

Durable Medical Equipment & Medical Supplies

137 CAMBRIA ST
RANDOLPH, WI 53956

Dodge County (920) 926-5303

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 Sandstrom's NPI number?

The NPI number for Shannon Sandstrom is 1194778324. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Shannon Sandstrom located?

Shannon Sandstrom practices at 137 Cambria St, Randolph, WI 53956. The listed phone number is (920) 326-5303.

What is Shannon Sandstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Shannon Sandstrom was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.