Provider Profile

Shannon Bolter, LADC, IADC, PCDGC

Unclaimed Profile

About Shannon Bolter

Shannon Bolter, LADC, IADC, PCDGC is a healthcare provider in Omaha, NE specializing in undefined non-physician type (specify). Shannon is also listed as specializing in addiction & substance abuse counselor. This provider record is associated with NPI 1376177071.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2013

Credentials & Licensing

NE licenceAs reported to the NPI registry
No. 51As reported
NE licenceAs reported to the NPI registry
No. 1439As reported
IA licenceAs reported to the NPI registry
No. 22R101As reported
NPINational Provider Identifier
1376177071Issued 2020

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Shannon Bolter, LADC, IADC specialize in?

Shannon Bolter, LADC, IADC is an undefined non in Omaha, NE. That is the designation recorded for this NPI in the federal registry, where it is listed as “Undefined Non-Physician Type (Specify)”.

NPI registry

Where is Shannon Bolter, LADC, IADC located?

Shannon Bolter, LADC, IADC is listed at 108 N 49Th St Ste B103, Omaha, NE 68132. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Shannon Bolter, LADC, IADC's phone number?

The number on file is (402) 200-3808. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Shannon Bolter, LADC, IADC?

Shannon Bolter, LADC, IADC's National Provider Identifier is 1376177071. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Shannon Bolter, LADC, IADC train?

Shannon Bolter, LADC, IADC attended Other, graduating in 2013. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Shannon Bolter, LADC, IADC have?

Shannon Bolter, LADC, IADC has 13 years experience. Calculated from a graduation year of 2013, reported in the CMS National Downloadable File.

CMS public data

Is Shannon Bolter, LADC, IADC's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Shannon Bolter, LADC, IADC. If this is you, claiming it is free.

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