DR. SHANNON D EVANS (NPI# 1003071804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003071804 |
| Entity Type | Individual |
| Full Name | DR. SHANNON D EVANS |
| Credential | DO |
| Practice Address |
4745 Boardwalk Drive Unit C3 Fort Collins CO 80525 |
| Practice Telephone | 9703050101 |
| Mailing Telephone | 9703050101 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0060131 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DOS-1720 | HI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 8365A | WY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689187635 | Shannon Nicole Evans | Student in an Organized Health Care Education/Training Program | 9 Brentwood Dr, Jackson, NJ 08527-3417 | 2017-11-13 |
| 1477984599 | Shannon Evans | Social Worker | 78 Salvatore Ct, Elmwood Park, NJ 07407-2436 | 2013-11-30 |
| 1316374655 | Shannon Michelle Evans | Midwife | 1581 Nw 98th Ave, Pembroke Pines, FL 33024-4331 | 2013-10-01 |
| 1467906578 | Shannon Marie Evans | Physical Therapist | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2016-08-05 |
| 1649723149 | Shannon Evans | Occupational Therapist | 620 8th Ave, Terre Haute, IN 47804-2744 | 2016-08-01 |
| 1407208242 | Shannon Marie Evans | Nurse Practitioner | 1823 E 7th St, Austin, TX 78702-2713 | 2016-07-05 |
| 1760858351 | Shannon Evans | Speech-Language Pathologist | 2560 Montessouri St, Suite 113, Las Vegas, NV 89117-3061 | 2015-08-18 |
| 1205184488 | Shannon Marie Evans | Optometrist | 1711 Ne 163rd St, North Miami Beach, FL 33162-4732 | 2012-08-21 |
| 1487953675 | Shannon Kelly Evans | Pediatrics | 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 | 2011-03-28 |
| 1851477574 | Shannon Evans | Physician Assistant | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-10-27 |
| Street Address |
4745 BOARDWALK DRIVE UNIT C3 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783566 | J. David Cranor Md LLC | Family Medicine | 2105 Bighorn Dr., #102, Fort Collins, CO 80525-9166 | 2019-01-08 |
| 1487170502 | Sunshine Celestina Stellmon | Family Medicine | 363 W Drake Rd Ste 9, Fort Collins, CO 80526-2882 | 2017-08-21 |
| 1265964704 | Christ Clinic Inc | Family Medicine | 3920 S Shields St, Fort Collins, CO 80526-3015 | 2017-04-03 |
| 1417399213 | Karen Kathleen Weese Bell | Family Medicine | 2900 S College Ave, Suite 3g, Fort Collins, CO 80525-2562 | 2013-07-22 |
| 1932448735 | Nancy Peltola | Family Medicine | 1339 Banyan Dr, Fort Collins, CO 80521-7529 | 2013-02-14 |
| 1285995811 | Stephen Gerard Henke | Family Medicine | 1304 S College Ave Ste 5, Fort Collins, CO 80524-4114 | 2012-05-30 |
| 1982963229 | Elizabeth Hauslein Buell | Family Medicine | 151 W. Lake Street, Fort Collins, CO 80523-8031 | 2012-05-07 |
| 1851660542 | James Edgar Froeschle | Family Medicine | 5902 Fossil Creek Pkwy, Fort Collins, CO 80525-7108 | 2011-12-24 |
| 1508168758 | Aida Yavari | Family Medicine | 1830 Laporte Ave, Fort Collins, CO 80521-2341 | 2010-11-20 |
| 1043473325 | Michelle Marie-bray Stoddard | Family Medicine | 3207 Red Mountain Dr, Fort Collins, CO 80525-6157 | 2008-07-07 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.