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SHANNON HUNTSMAN
NPI 1902351802
Student in an Organized Health Care Education/Training Program in Watertown, NY

Active since August 20, 2016
167 POLK ST, SUITE 300, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Huntsman NPPES

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

SHANNON HUNTSMAN (NPI 1902351802) is an individual student in an organized health care education/training program in Watertown, New York and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1902351802
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON HUNTSMAN
Location Address167 POLK ST, SUITE 300Watertown, NY 13601-2097
Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 779-1184
Phone(315) 782-7445
Fax(315) 779-1184
Sole ProprietorNo
Enumeration DateAugust 20, 2016
✔ NPI 1902351802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
167 POLK ST, Watertown, NY 13601
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Other Names 1

Former Name (1)Shannon Nechole Cornelius

Other Providers at the Same Location NPPES 11

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

KRISTEN M MARTIN
Counselor (Mental Health)
167 POLK ST, SUITE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
DAVID HALL
Social Worker
167 POLK ST, SUITE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
AMY A MESSINA
Licensed Practical Nurse
167 POLK ST, SUITE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
LIVIA MARGARET KUBICA LMSW
Social Worker
167 POLK ST, SUITE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
LINDA KNIGHT RN
Registered Nurse
167 POLK ST, SUITE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
ROBERT P NEWBERRY
Counselor (Mental Health)
167 POLK ST, SUITE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
TABATHA M SELLICK SW
Student in an Organized Health Care Education/Training Program
167 POLK ST, SUITE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
AMANDA WHITSON RN
Registered Nurse
167 POLK ST, SUITE 300
WATERTOWN, NY 13601
Jefferson County (315) 782-7445

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 Huntsman's NPI number?

The NPI number for Shannon Huntsman is 1902351802. It was assigned to this individual provider in the NPPES registry on August 20, 2016. The provider is also known as Shannon Nechole Cornelius.

Where is Shannon Huntsman located?

Shannon Huntsman practices at 167 Polk St Suite 300, Watertown, NY 13601. The listed phone number is (315) 782-7445.

What is Shannon Huntsman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Huntsman was last updated on August 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.