Provider Demographics
NPI:1942330857
Name:SCHNELLER, SHANNON KAY I (NBC HIS)
Entity Type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:KAY
Last Name:SCHNELLER
Suffix:I
Gender:F
Credentials:NBC HIS
Other - Prefix:MISS
Other - First Name:SHANNON
Other - Middle Name:KAY
Other - Last Name:NORMAN
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6700 WASHINGTON AVE S
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3405
Mailing Address - Country:US
Mailing Address - Phone:612-351-1529
Mailing Address - Fax:
Practice Address - Street 1:6318 NW BARRY RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-2531
Practice Address - Country:US
Practice Address - Phone:816-584-1074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002012679237700000X
KS1121237700000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter