Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Nichole Baisden, MA

Individual provider Clinical Exercise Physiologist · NPI 1609542828

Shannon Nichole Baisden, MA is a Clinical Exercise Physiologist in Mission, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2021
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6130 Hodges Dr
Mission, KS 66205-3038
Phone: (913) 645-5675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X · Licence W46011 (KS)
Clinical Exercise Physiologist Taxonomy 224Y00000X · Licence 1180234454

Record details

NPI number1609542828
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021