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Shannon Tabaka, SW
NPI 1992680615 · Lodging Provider · Zimmerman, MN
Shannon Tabaka, SW is a Lodging Provider provider in Zimmerman, MN (NPI 1992680615).
Provider details
- NPI number
- 1992680615
- Entity type
- Individual
- Primary specialty
- Lodging ProviderOther Service Providers
- Credential
- SW
- Sex
- Female
- Sole proprietor
- Yes
- License
- FBL4413164383 (MN)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(54/100 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
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
12714 Fremont Ave
Zimmerman, MN 55398-9406
Phone: (763) 732-2065
Street-level locationGet directions
Mailing address
6314 Cedar Rd
Oak Park, MN 56357-8529
Registry dates
- Enumerated
- 2025-08-11
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Frequently asked questions
- What is Shannon Tabaka's NPI number?
- Shannon Tabaka's National Provider Identifier (NPI) is 1992680615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Tabaka's specialty?
- Shannon Tabaka is listed in the NPPES registry with a primary specialty of Lodging Provider (Other Service Providers).
- Where is Shannon Tabaka located?
- Shannon Tabaka's practice location on file with NPPES is 12714 Fremont Ave, Zimmerman, MN 55398-9406.
- What is Shannon Tabaka's phone number?
- The practice phone number listed in the NPPES registry for Shannon Tabaka is (763) 732-2065.
- Is Shannon Tabaka's NPI active?
- Yes — Shannon Tabaka's NPI (1992680615) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.