What is Shannon Doherty's NPI number?

Shannon Doherty's National Provider Identifier (NPI) is 1275177917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Doherty's specialty?

Shannon Doherty is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Shannon Doherty located?

Shannon Doherty's practice location on file with NPPES is 600 Wayne Ave, Dayton, OH 45410-1122.

What is Shannon Doherty's phone number?

The practice phone number listed in the NPPES registry for Shannon Doherty is (937) 496-2000.

Is Shannon Doherty's NPI active?

Yes — Shannon Doherty's NPI (1275177917) is active in the NPPES registry as of the last update on 2019-11-06.

IndividualActive

Shannon Doherty

NPI 1275177917 · Licensed Practical Nurse · Dayton, OH

Shannon Doherty is a Licensed Practical Nurse provider in Dayton, OH (NPI 1275177917).

Provider details

NPI number: 1275177917
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 164178 (OH)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 164178 (OH)
Nursing Service Providers

Profile Score

Established profile(65/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

600 Wayne Ave

Dayton, OH 45410-1122

Phone: (937) 496-2000

Street-level locationGet directions

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Mailing address