What is Micah Shannon's NPI number?

Micah Shannon's National Provider Identifier (NPI) is 1376340711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Micah Shannon's specialty?

Micah Shannon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Micah Shannon located?

Micah Shannon's practice location on file with NPPES is 2270 Lake Ave, Fort Wayne, IN 46805-5359.

What is Micah Shannon's phone number?

The practice phone number listed in the NPPES registry for Micah Shannon is (260) 444-5649.

Is Micah Shannon's NPI active?

Yes — Micah Shannon's NPI (1376340711) is active in the NPPES registry as of the last update on 2025-02-25.

IndividualActive

Micah Shannon

NPI 1376340711 · Behavior Technician · Fort Wayne, IN

Micah Shannon is a Behavior Technician provider in Fort Wayne, IN (NPI 1376340711).

Provider details

NPI number: 1376340711
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(48/100 index)

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

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% 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

2270 Lake Ave

Fort Wayne, IN 46805-5359

Phone: (260) 444-5649

Street-level locationGet directions

Mailing address