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SHANNON ELIZABETH WIEDEMAN NP AND RN
NPI 1255596607
Registered Nurse - Psychiatric/Mental Health in Enterprise, OR

Active since July 25, 2008
207 SW 1ST ST, ENTERPRISE, OR 97828(541) 426-0801(541) 426-0802 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Elizabeth Wiedeman Np And Rn NPPES

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

SHANNON ELIZABETH WIEDEMAN NP AND RN (NPI 1255596607) is an individual psychiatric/mental health provider in Enterprise, Oregon, licensed in Oregon (201043506RN) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1255596607
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameSHANNON ELIZABETH WIEDEMANCredential: NP AND RN
Location Address207 SW 1ST STEnterprise, OR 97828-1203
Mailing Address207 Sw 1st StEnterprise, OR 97828-1203 · (541) 426-4524 · Fax (541) 426-3035
Phone(541) 426-0801
Fax(541) 426-0802
Sole ProprietorNo
Enumeration DateJuly 25, 2008
Last NPPES UpdateApril 5, 2016
✔ NPI 1255596607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in OR · 201043506RN
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 201050225NP (OR)
207 SW 1ST ST, Enterprise, OR 97828
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Other Names 1

Former Name (1)Shannon Elizabeth Payden Rn

Other Identifiers 3

Other383864OR · Medicare Rhc
Medicaid500641038OR
OtherO10244476AAOR · Regence Blue Cross Blue Shield

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.

HANNAH HILLOCK QMHA
Case Manager/Care Coordinator
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-0168
CHANTAY JETT
Behavior Analyst
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
AMY BUSCH
Case Manager/Care Coordinator
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
MS. ANNA MAPES RN, BSN
Registered Nurse
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 246-0801
KATE FORSTER QMHA
Case Manager/Care Coordinator
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-0801
CHRISTIAN NIECE
Case Manager/Care Coordinator
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
PAUL SPRIGGS-FLANDERS LPC
Counselor (Mental Health)
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
SUSANNA NAOMI SCHAUFFLER
Case Manager/Care Coordinator
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-0801

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 Wiedeman's NPI number?

The NPI number for Shannon Wiedeman is 1255596607. It was assigned to this individual provider in the NPPES registry on July 25, 2008. The provider is also known as Shannon Elizabeth Payden Rn.

Where is Shannon Wiedeman located?

Shannon Wiedeman practices at 207 SW 1st St, Enterprise, OR 97828. The listed phone number is (541) 426-0801.

What is Shannon Wiedeman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Shannon Wiedeman was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.