SHANNON GALBREATH CONVERSE (NPI# 1164658670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164658670 |
| Entity Type | Individual |
| Full Name | SHANNON GALBREATH CONVERSE |
| Other Name | SHANNON BROOK GALBREATH |
| Credential | NP |
| Practice Address |
2955 S Broadway Englewood CO 80113-1526 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2014-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
180363 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 025150 | 01 |
| CO | 03834573 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699055673 | Shannon G. Converse | Marriage & Family Therapist | 610 14th St, Modesto, CA 95354-2505 | 2011-08-23 |
| Street Address |
2955 S BROADWAY |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992738363 | Marija R.g. Dubrick | Family Medicine | 2955 S Broadway, Englewood, CO 80113-1526 | 2006-07-09 |
| 1619500246 | Brittany N Stephenson | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2020-02-21 |
| 1134674534 | Kevin Smith | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2016-08-16 |
| 1346693371 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2955 S Broadway, Englewood, CO 80113-1526 | 2016-07-14 |
| 1942689237 | Alexis Meis | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2015-05-20 |
| 1770980260 | Andrea V Nuanes | Social Worker | 2955 S Broadway, Englewood, CO 80113-1526 | 2014-11-26 |
| 1447654116 | Suzanne Fish | Pharmacist | 2955 S Broadway, Englewood, CO 80113-1526 | 2014-10-09 |
| 1740692805 | Diana De Andrade | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2014-05-23 |
| 1619387438 | Amy Semon | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2014-05-01 |
| 1962833608 | Mary Watkins | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2013-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508495821 | Jawana Lynn Watson | Nurse Practitioner | 307 Kristina Lynn Pl, Englewood, OH 45322-2354 | 2020-04-07 |
| 1003449737 | Michelle May Roe | Nurse Practitioner | 21 Oakland St, Englewood, NJ 07631-2112 | 2020-02-21 |
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1619518453 | Theresa Carol Lee | Nurse Practitioner | 420 Grand Ave Ste 101, Englewood, NJ 07631-4141 | 2019-10-02 |
| 1194373977 | Jane Uloma Ibe | Nurse Practitioner | 4018 Clearstream Way, Englewood, OH 45322-1458 | 2019-08-26 |
| 1932768330 | Laurie Ann Cucco | Nurse Practitioner | 3302 Riverview Ave, Englewood, NJ 07631-8720 | 2019-06-10 |
| 1326522848 | Quynh Doan | Nurse Practitioner | 2828 S Mccall Rd Ste 8, Englewood, FL 34224-9516 | 2018-09-20 |
| 1669998464 | Jennifer Diane Novotny | Nurse Practitioner | 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 | 2017-08-14 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1851844211 | Sm Medical LLC | Nurse Practitioner | 1008 Sunset Dr, Englewood, OH 45322-2253 | 2016-08-02 |
| Find all providers in ENGLEWOOD | ||||
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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.