SHANNON LANE NP
NPI 1386428811
Nurse Practitioner - Gerontology in Appleton, WI

Q: What is Shannon Lane's NPI number?

The NPI number for Shannon Lane is 1386428811. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Q: What is Shannon Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Lane was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 August 24, 2023

2807 N BALLARD RD, APPLETON, WI 54911(920) 512-8822 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Lane Np NPPES

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

SHANNON LANE NP (NPI 1386428811) is an individual gerontology provider in Appleton, Wisconsin, licensed in Wisconsin (13535-33) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1386428811

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSHANNON LANECredential: NP

Location Address2807 N BALLARD RDAppleton, WI 54911-8701

Mailing Address108 Lamine LnCombined Locks, WI 54113-1100

Phone(920) 512-8822

Sole ProprietorYes

Enumeration DateAugust 24, 2023

Last NPPES UpdateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1386428811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in WI · 13535-33

2807 N BALLARD RD, Appleton, WI 54911

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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 Lane's NPI number?

The NPI number for Shannon Lane is 1386428811. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Shannon Lane located?

Shannon Lane practices at 2807 N Ballard Rd, Appleton, WI 54911. The listed phone number is (920) 512-8822.

What is Shannon Lane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Shannon Lane was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.