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SHANNON DANIELLE WILLARD
NPI 1639053580
Peer Specialist in Poplar Bluff, MO

Active since August 04, 2025
3001 WARRIOR LN, POPLAR BLUFF, MO 63901(573) 686-1200 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Danielle Willard NPPES

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

SHANNON DANIELLE WILLARD (NPI 1639053580) is an individual peer specialist in Poplar Bluff, Missouri and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1639053580
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHANNON DANIELLE WILLARD
Location Address3001 WARRIOR LNPoplar Bluff, MO 63901-8685
Mailing Address3001 Warrior LnPoplar Bluff, MO 63901-8685
Phone(573) 686-1200
Sole ProprietorNo
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1639053580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3001 WARRIOR LN, Poplar Bluff, MO 63901
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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.

ALLYSON RAE FITZWATER
Community Health Worker
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
ERICA DANIELLE RAYMER
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
AUBREY NICOLE WADE
Behavior Technician
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
ASHLEY MATLOCK
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
MS. LYDIA ALPHA MABBITT LPC
Counselor (Professional)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
JULIE ROSS LCSW
Social Worker (Clinical)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
MS. CHRISTINA J CUNNINGHAM MS
Counselor
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
SHERIAL LYNN NANCE
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200

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 Willard's NPI number?

The NPI number for Shannon Willard is 1639053580. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Shannon Willard located?

Shannon Willard practices at 3001 Warrior Ln, Poplar Bluff, MO 63901. The listed phone number is (573) 686-1200.

What is Shannon Willard's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shannon Willard was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.