Shannon Nicole Lind, is a
Peer Specialist based in Bend, Oregon. Shannon Nicole Lind is licensed to practice in Oregon (license number 24-CRM-3373) and her current practice location is
389 Sw Scalehouse Ct, Bend, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 306-4446.
NPI number for Shannon Nicole Lind is 1073357851 and her current mailing address is 63224 Lancaster St, Bend, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073357851.
Healthcare Provider's Profile
| Full Name | Shannon Nicole Lind |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 389 Sw Scalehouse Ct, Bend, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073357851
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 11/11/2025
Medical Identifiers
Medical identifiers for Shannon Nicole Lind such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073357851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-25-6087 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 24-CRM-3373 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Nicole Lind is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shannon Nicole Lind, 63224 Lancaster St, Bend, OR 97701-7149 Ph: (458) 256-1611 | Shannon Nicole Lind, 389 Sw Scalehouse Ct, Bend, OR 97702-3241 Ph: (541) 306-4446 |
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