MS. LYNN MARIE SHIELDS (NPI# 1023240645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023240645 |
| Entity Type | Individual |
| Full Name | MS. LYNN MARIE SHIELDS |
| Credential | ACNP/FNP |
| Practice Address |
4491 Bent Brothers Blvd Colorado City CO 81019-9990 |
| Mailing Address |
Po Box 560825 Denver CO 80256-0825 |
| Practice Telephone | 7195957525 |
| Practice Fax Number | 7195957965 |
| Mailing Telephone | 7195957417 |
| Mailing Fax Number | 7195420809 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5987 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5988 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5987 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 06358306 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 N Grand Ave, Suite 245, Pueblo, CO 810032700 | 7195957040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689768665 | Lynn Davilla Shields | Psychologist | 3468 Mt Diablo Blvd, Suite B201, Lafayette, CA 94549-3957 | 2006-10-03 |
| Street Address |
4491 BENT BROTHERS BLVD |
| City | COLORADO CITY |
| State | CO |
| Zip Code | 81019-9990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922207083 | Garth Brian Ahner | Chiropractor | 4491 Bent Brothers Blvd, Colorado City, CO 81019 | 2007-07-17 |
| 1093365074 | Parkview Ancillary Services | Internal Medicine | 4491 Bent Brothers Blvd, Colorado City, CO 81019-9990 | 2019-09-12 |
| 1790294205 | Brandi Leanne Olson | Nurse Practitioner | 4491 Bent Brothers Blvd, Colorado City, CO 81019-9990 | 2017-09-27 |
| 1477797207 | Claudia R. Imes | Internal Medicine | 4491 Bent Brothers Blvd, Colorado City, CO 81019 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993022 | Christopher Brian Johnson | Physical Therapy Assistant | 4198 Ouray St, Colorado City, CO 81019 | 2020-02-12 |
| 1285185694 | Megan Mack | Nurse's Aide | 2773 Applewood Dr, Colorado City, CO 81019 | 2016-10-20 |
| 1780045443 | Anne Esther Maroney | Speech-Language Pathologist | 5148 Little Raven Drive, Colorado City, CO 81019 | 2016-03-09 |
| 1093120073 | Alexander Adams | Hearing Instrument Specialist | 6685 Hwy 165, Colorado City, CO 81019 | 2014-06-27 |
| 1508108796 | Digicare Hearing Solutions Inc. | Hearing Instrument Specialist | 6685 Colorado Highway 165, Colorado City, CO 81019 | 2013-03-26 |
| 1649528175 | Teresa Barnes | Physical Therapist | 4648 Colorado Blvd., Colorado City, CO 81019 | 2012-08-15 |
| 1679516348 | Total Life Care, LLC | Family Medicine | 4491 Bent Bros. Blvd, Colorado City, CO 81019 | 2006-06-13 |
| 1649227901 | Joanne Charolette Smiley | Nurse Practitioner | 4491 Bent Bros Blvd, Colorado City, CO 81019 | 2006-05-30 |
| 1518929330 | Viann Mccullion Powers | Counselor | 2 North Parkway, Colorado City, CO 81019 | 2006-04-05 |
| 1225430622 | Greenhorn Health Services PCt | Home Health | 6230 Waco Mish Road, Colorado City, CO 81019 | 2014-09-17 |
| Find all providers in zip 81019 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679519 | Amanda Winter | Nurse Practitioner | 17657 Road 27.7, Dolores, CO 81323-8605 | 2020-11-05 |
| 1568078707 | William Glenn Vause | Nurse Practitioner | 1625 S Iola St Apt 107, Aurora, CO 80012-4087 | 2020-09-22 |
| 1215547286 | Kimberly Frances Vialpando | Nurse Practitioner | 216 S 11th St, Colorado Springs, CO 80904-4300 | 2020-08-05 |
| 1881204071 | Annette K Johnson | Nurse Practitioner | 13975 W Layton Cir, Morrison, CO 80465-1071 | 2020-08-03 |
| 1194333195 | Kaitlin Kraus | Nurse Practitioner | 820 N Sherman St Apt 213, Denver, CO 80203-2975 | 2020-07-16 |
| 1386262871 | Catherine Fenster | Nurse Practitioner | 305 Prospector Ave, Durango, CO 81301-7954 | 2020-07-10 |
| 1487291233 | Next Door Health Care | Nurse Practitioner | 190 S 1st St Unit A, Bennett, CO 80102-7899 | 2019-11-27 |
| 1255981122 | Mary Jeal Carrasco | Nurse Practitioner | 6850 E Evans Ave Ste 102, Denver, CO 80224-2300 | 2019-09-12 |
| 1871057620 | Marion Eleanor Toll | Nurse Practitioner | 1025 Garfield St Ste B, Fort Collins, CO 80524-3930 | 2019-01-25 |
| 1225534860 | Elizabeth Faye Kirt | Nurse Practitioner | 924 Oak St., Steamboat Springs, CO 80487 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO CITY |
| Zip Code | 81019 |
Please comment or provide details below to improve the information on MS. LYNN MARIE SHIELDS.
| 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.