SHANNON BROOKS (NPI# 1194350322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194350322 |
| Entity Type | Individual |
| Full Name | SHANNON BROOKS |
| Practice Address |
2003 E 4th St Pueblo CO 81001-4150 |
| Mailing Address |
41 Montebello Rd Ste 204 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195454100 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002933 | Shannon Brooks | Speech-Language Pathologist | 101 Carriage Pt Ste 202, Hurricane, WV 25526-1526 | 2017-09-19 |
| 1881841062 | Shannon Michele Brooks | Physical Therapist | 2509 Akron Ct, Denver, CO 80238-2761 | 2008-08-19 |
| 1922266618 | Shannon Kelly Brooks | Occupational Therapy Assistant | 7106 Hunters Bluff Dr, Denver, NC 28037-8054 | 2008-05-29 |
| 1912068172 | Shannon Brooks | Physical Therapist | 217 Brookshire Ln, Beckley, WV 25801-6729 | 2006-12-12 |
| 1639787245 | Shannon Lynn Brooks | Family Medicine | 170 Dr Arla Way Ste 101, Louisville, KY 40229-5427 | 2020-07-20 |
| 1376194241 | Shannon Brooks | Licensed Practical Nurse | 1380 Dublin Rd Ste 100, Columbus, OH 43215-1025 | 2019-09-23 |
| 1003023037 | Shannon L Brooks | Nursing Care | 543 North St, New Bedford, MA 02740-2766 | 2007-05-17 |
| 1649254145 | Shannon D Brooks | Nurse Practitioner | 2200 Childrens Way, Dot # 10, Nashville, TN 37232-0005 | 2005-11-30 |
| Street Address |
2003 E 4TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457419830 | Health Solutions | Clinic/Center | 2003 E 4th St, Pueblo, CO 81001-4150 | 2006-12-05 |
| 1679196844 | Ashley Warner | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-05-22 |
| 1346802709 | Zinnia Martinez | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2019-07-05 |
| 1366949422 | Abraham Ortiz | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-06 |
| 1083110183 | Lawrence Chavez Jr. | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1811493919 | Robert Trujillo | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659877751 | Tiffany Post | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659875102 | Darnell Ray Brown | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-03-20 |
| 1992212351 | Alexis Marie Rael | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-01-08 |
| 1760937742 | Joshua Helton | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2016-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299725 | Mi Casa Transitional Services Inc | Peer Specialist | 1611 Crestmoor Dr, Pueblo, CO 81001-2727 | 2017-11-29 |
| 1679196844 | Ashley Warner | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-05-22 |
| 1790334324 | Chelsea Bruntmyer | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-09-06 |
| 1346802709 | Zinnia Martinez | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2019-07-05 |
| 1639637127 | Lisa Ochoa-lloyd | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-03-04 |
| 1366949422 | Abraham Ortiz | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-06 |
| 1083110183 | Lawrence Chavez Jr. | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1811493919 | Robert Trujillo | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659877751 | Tiffany Post | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659875102 | Darnell Ray Brown | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-03-20 |
| Find all providers in PUEBLO | ||||
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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.