SHANNON R WIANT
NPI 1679716120
Specialist in Glendale, AZ

Active since April 14, 2009
5430 W GLENN DR, GLENDALE, AZ 85301(623) 238-9763(623) 937-5425 Get Directions Write a Review

NPPES record last updated: April 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon R Wiant NPPES

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

SHANNON R WIANT (NPI 1679716120) is an individual specialist in Glendale, Arizona, licensed in Arizona (4340) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1679716120
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSHANNON R WIANT
Location Address5430 W GLENN DRGlendale, AZ 85301-2628
Mailing Address5430 W Glenn DrGlendale, AZ 85301 · (623) 238-9763 · Fax (623) 937-5425
Fax(623) 937-5425
Sole ProprietorNo
Enumeration DateApril 14, 2009
NPI 1679716120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AZ · 4340
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5430 W GLENN DR, Glendale, AZ 85301

Other Identifiers 1

Medicaid4340AZ

Other Providers at the Same Location NPPES 10

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

Early Intervention Provider Agency
5430 W GLENN DR
GLENDALE, AZ 85301
Specialist/Technologist (Speech-Language Assistant)
5430 W GLENN DR
GLENDALE, AZ 85301
Occupational Therapy Assistant
5430 W GLENN DR
GLENDALE, AZ 85301
Specialist
5430 W GLENN DR
GLENDALE, AZ 85301
Specialist
5430 W GLENN DR
GLENDALE, AZ 85301
Specialist/Technologist (Speech-Language Assistant)
5430 W GLENN DR
GLENDALE, AZ 85301
Specialist/Technologist (Speech-Language Assistant)
5430 W GLENN DR
GLENDALE, AZ 85301
Specialist
5430 W GLENN DR
GLENDALE, AZ 85301

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 Wiant's NPI number?

The NPI number for Shannon Wiant is 1679716120. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Shannon Wiant located?

Shannon Wiant practices at 5430 W Glenn Dr, Glendale, AZ 85301. The listed phone number is (623) 238-9763.

What is Shannon Wiant's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shannon Wiant was last updated on April 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.