SHANNON TABAKA SW
NPI 1992680615
Lodging in Zimmerman, MN
NPI Status: Active since August 11, 2025
Contact Information
12714 FREMONT AVE
ZIMMERMAN, MN
ZIP 55398
Phone: (763) 732-2065
- Individual
- Female
- Lodging
About SHANNON TABAKA
This page provides the complete NPI Profile along with additional information for Shannon Tabaka, a provider established in Zimmerman, Minnesota with a medical specialization in Lodging. The healthcare provider is registered in the NPI registry with number 1992680615 assigned on August 2025. The practitioner's primary taxonomy code is 177F00000X with license number FBL4413164383 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1992680615
- Provider Name
- SHANNON TABAKA SW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12714 FREMONT AVE ZIMMERMAN, MN 55398
- Location Phone
- (763) 732-2065
- Mailing Address
- 6314 CEDAR RD OAK PARK, MN 56357
- Mailing Phone
- (763) 732-2065
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-11-2025
- Last Update Date
- 08-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Lodging
- Taxonomy Code
- 177F00000X
- Type
- Other Service Providers
- License No.
- FBL4413164383
- License State
- MN
- Taxonomy Description
- A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1992680615, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992680615, enumerated as an "individual" on August 11, 2025.
The provider is located at 12714 FREMONT AVE ZIMMERMAN, MN 55398 and the phone number is (763) 732-2065.
Lodging with taxonomy code 177F00000X.
