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SHANNON DOHERTY
NPI 1275177917
Licensed Practical Nurse in Dayton, OH

Active since November 06, 2019
600 WAYNE AVE, DAYTON, OH 45410(937) 496-2000 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Doherty NPPES

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

SHANNON DOHERTY (NPI 1275177917) is an individual licensed practical nurse in Dayton, Ohio, licensed in Ohio (164178) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1275177917
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANNON DOHERTY
Location Address600 WAYNE AVEDayton, OH 45410-1122
Mailing Address600 Wayne AveDayton, OH 45410-1122
Phone(937) 496-2000
Sole ProprietorYes
Enumeration DateNovember 6, 2019
✔ NPI 1275177917 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 OH · 164178
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.
600 WAYNE AVE, Dayton, OH 45410
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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.

LETICIA NICOLE DRANE
Case Manager/Care Coordinator
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
MARGARET H. HUGHES LSW
Social Worker
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 396-2535
AMANDA PETTIT
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
ROBERT JACKSON
Behavior Technician
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
EASTWAY CORPORATION
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
AISHA AJULON SMITH BACHELO OF SCIENCE
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
SHAL'AMAR COOK
Licensed Practical Nurse
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000
TAMIKA DANIELLE MORRISON
Community/Behavioral Health
600 WAYNE AVE
DAYTON, OH 45410
Montgomery County (937) 496-2000

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 Doherty's NPI number?

The NPI number for Shannon Doherty is 1275177917. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Shannon Doherty located?

Shannon Doherty practices at 600 Wayne Ave, Dayton, OH 45410. The listed phone number is (937) 496-2000.

What is Shannon Doherty'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 Doherty was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.