What is Shannon Willard's NPI number?

Shannon Willard's National Provider Identifier (NPI) is 1639053580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Willard's specialty?

Shannon Willard is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Shannon Willard located?

Shannon Willard's practice location on file with NPPES is 3001 Warrior Ln, Poplar Bluff, MO 63901-8685.

What is Shannon Willard's phone number?

The practice phone number listed in the NPPES registry for Shannon Willard is (573) 686-1200.

Is Shannon Willard's NPI active?

Yes — Shannon Willard's NPI (1639053580) is active in the NPPES registry as of the last update on 2025-08-04.

IndividualActive

Shannon Willard

NPI 1639053580 · Peer Specialist · Poplar Bluff, MO

Shannon Willard is a Peer Specialist provider in Poplar Bluff, MO (NPI 1639053580).

Provider details

NPI number: 1639053580
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other 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
Under 1 yr in 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

3001 Warrior Ln

Poplar Bluff, MO 63901-8685

Phone: (573) 686-1200

Street-level locationGet directions

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Mailing address