1. Home
  2. Directory
  3. Illinois
  4. Herrin
  5. NPI Profile

SHANNON WALDON CST
NPI 1336555051
in Herrin, IL

Active since July 02, 2014
510 LINCOLN DR, HERRIN, IL 62948(618) 997-6800(618) 997-1187 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Waldon Cst NPPES

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

SHANNON WALDON CST (NPI 1336555051) is an individual healthcare provider in Herrin, Illinois, licensed in Kentucky (4393) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1336555051
Entity TypeIndividualFemale
Primary Taxonomy246ZS0400X
Provider Legal NameSHANNON WALDONCredential: CST
Location Address510 LINCOLN DRHerrin, IL 62948-6334
Mailing Address4787 Alben Barkley DrPaducah, KY 42001-6789 · (270) 442-9461 · Fax (270) 441-0079
Phone(618) 997-6800
Fax(618) 997-1187
Sole ProprietorYes
Enumeration DateJuly 2, 2014
✔ NPI 1336555051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty
Taxonomy Code246ZS0400X
License✔ Licensed in KY · 4393
510 LINCOLN DR, Herrin, IL 62948
Open in Google Maps ↗

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.

SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC
Clinic/Center (Ambulatory Surgical)
510 LINCOLN DR
HERRIN, IL 62948
Williamson County (618) 997-3100
JARED JONES
Physical Therapist
510 LINCOLN DR
HERRIN, IL 62948
Williamson County (618) 997-6800
MR. HOLLIS JOHNSON CLARK JR. P.A.-C.
Physician Assistant
510 LINCOLN DR
HERRIN, IL 62948
Williamson County (618) 997-6800
MRS. KELLY JACKSON JOHNSON PA-C
Physician Assistant
510 LINCOLN DR
HERRIN, IL 62948
Williamson County (618) 997-6800
GRETCHEN B MASON PA-C
Physician Assistant
510 LINCOLN DR
HERRIN, IL 62948
Williamson County (618) 997-6800
MRS. MESHIA K HUGHES PA-C
Physician Assistant
510 LINCOLN DR
HERRIN, IL 62948
Williamson County (618) 997-6800
TRAVIS C CHAPMAN PT
Physical Therapist
510 LINCOLN DR
HERRIN, IL 62948
Williamson County (618) 997-6800
DAVID COLLIN PRATHER
Physical Therapist
510 LINCOLN DR
HERRIN, IL 62948
Williamson County (618) 997-6800

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 Waldon's NPI number?

The NPI number for Shannon Waldon is 1336555051. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Shannon Waldon located?

Shannon Waldon practices at 510 Lincoln Dr, Herrin, IL 62948. The listed phone number is (618) 997-6800.

When was this NPI record last updated?

The NPPES record for Shannon Waldon was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.