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SHANNON RENE WALLIN ATC
NPI 1649055476
Specialist/Technologist - Athletic Trainer in Fremont, CA

Active since August 29, 2023
41717 PALM AVE, FREMONT, CA 94539(510) 657-3600 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Rene Wallin Atc NPPES

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

SHANNON RENE WALLIN ATC (NPI 1649055476) is an individual athletic trainer provider in Fremont, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1649055476
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSHANNON RENE WALLINCredential: ATC
Location Address41717 PALM AVEFremont, CA 94539-4722
Mailing Address2000 Mowry AveFremont, CA 94538-1746
Phone(510) 657-3600
Sole ProprietorNo
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
✔ NPI 1649055476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
41717 PALM AVE, Fremont, CA 94539
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Other Names 1

Former Name (1)Shannon Rene Harms Atc

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HAGAR LIEBERMENSCH PPS# 240078476
Psychologist (School)
41717 PALM AVE
FREMONT, CA 94539
Alameda County (510) 657-3600
JITIN SHARMA
Counselor (School)
41717 PALM AVE
FREMONT, CA 94539
Alameda County (510) 657-3600
IRINA NEYMARK SCHOOL COUNSELOR PPS
Counselor
41717 PALM AVE
FREMONT, CA 94539
Alameda County (510) 657-3600
JENNIFER YEN
Health and Wellness Coach
41717 PALM AVE
FREMONT, CA 94539
Alameda County (510) 657-3600
HALEY BAUTISTA PPS
Counselor (School)
41717 PALM AVE
FREMONT, CA 94539
Alameda County (510) 657-3600
CITY OF FREMONT
Community/Behavioral Health
41717 PALM AVE
FREMONT, CA 94539
Alameda County (510) 657-3600
NEFERTARI ROYSTON MA PPS
Psychologist (School)
41717 PALM AVE
FREMONT, CA 94539
Alameda County (510) 657-3600
LINDSAY ROTTER
Counselor (School)
41717 PALM AVE
FREMONT, CA 94539
Alameda County (510) 657-3600

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 Wallin's NPI number?

The NPI number for Shannon Wallin is 1649055476. It was assigned to this individual provider in the NPPES registry on August 29, 2023. The provider is also known as Shannon Rene Harms Atc.

Where is Shannon Wallin located?

Shannon Wallin practices at 41717 Palm Ave, Fremont, CA 94539. The listed phone number is (510) 657-3600.

What is Shannon Wallin's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Shannon Wallin was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.