MARY F SHACKELTON (NPI# 1366658924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366658924 |
| Entity Type | Individual |
| Full Name | MARY F SHACKELTON |
| Credential | N.D. |
| Practice Address |
2975 Valmont Rd Suite 100 Boulder CO 80301-1361 |
| Practice Telephone | 3034493777 |
| Practice Fax Number | 3034493775 |
| Mailing Telephone | 3034493777 |
| Mailing Fax Number | 3034493775 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 099-0000061 | VT | Other Service Providers |
| Street Address |
2975 VALMONT RD SUITE 100 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518062496 | Carol Jean Good | Psychologist | 2975 Valmont Rd, Suite 310, Boulder, CO 80301 | 2006-09-14 |
| 1043676786 | Abbie Lasky | Counselor | 2975 Valmont Rd, Suite 300, Boulder, CO 80301-1361 | 2016-01-11 |
| 1922489517 | Gennifer Morley | Counselor | 2975 Valmont Rd, Suite 320, Boulder, CO 80301-1361 | 2015-06-09 |
| 1982019212 | Matthew Tomatz | Counselor | 2975 Valmont Rd, Suite 200, Boulder, CO 80301-1361 | 2014-06-25 |
| 1437594157 | Nancy Nunes | Social Worker | 2975 Valmont Rd, Suite 200, Boulder, CO 80301-1361 | 2013-05-08 |
| 1962680496 | Lindsey Mari Rosso Mckoy | Acupuncturist | 2975 Valmont Rd, Suite 100, Boulder, CO 80301-1361 | 2008-02-06 |
| 1346365996 | Katherine Thomas | Counselor | 2975 Valmont Rd, Suite 300, Boulder, CO 80301-1361 | 2007-03-20 |
| 1841320298 | Robyn Ducharme Fogelberg | Social Worker | 2975 Valmont Rd, Suite 300, Boulder, CO 80301 | 2007-03-06 |
| 1912069048 | Richard C. Wesley | Counselor | 2975 Valmont Rd, Suite 310, Boulder, CO 80301-1361 | 2006-12-14 |
| 1538231550 | Hogberg PC | Chiropractor | 2975 Valmont Rd, Suite 200, Boulder, CO 80301-1361 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619363108 | Juliana Tringali | Naturopath | 500 Manhattan Dr, Boulder, CO 80303-4030 | 2015-04-10 |
| 1285022806 | Sasha Fluss | Naturopath | 5330 Manhattan Cir Ste B, Boulder, CO 80303-4240 | 2015-01-05 |
| 1831502277 | Patricia Grace Torrance | Naturopath | 4889 White Rock Cir, Ste. F, Boulder, CO 80301-6785 | 2014-06-03 |
| 1922356278 | Alexis Smith | Naturopath | 3278 Folsom St, Boulder, CO 80304-2411 | 2012-08-16 |
| 1275829624 | Julieanne Neal | Naturopath | 2042 Mariposa Ave, Boulder, CO 80302-7935 | 2011-06-23 |
| 1104157858 | Rising Tide Natural Medicine | Naturopath | 2321 30th St, Boulder, CO 80301-1103 | 2010-01-20 |
| 1013159128 | Andrew Lange | Naturopath | 3122 8th St, Boulder, CO 80304-2516 | 2009-04-03 |
| 1326227398 | Denise Maureen Clark | Naturopath | 5330 Manhattan Circle, Suite B, Boulder, CO 80303 | 2007-10-26 |
| 1790877637 | Kelly Jacobs Parcell | Naturopath | 1440 28th St, Suite 4, Boulder, CO 80303-1030 | 2006-09-28 |
| 1083712293 | Stephen Wesley Parcell | Naturopath | 5330 Manhattan Cir, Suite B, Boulder, CO 80303-4240 | 2006-09-20 |
| Find all providers in BOULDER | ||||
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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.