SHANNON PHILLIPS


Address: 12605 E 16th Ave, Aurora, CO 80045-2545
Phone: 7208480000

SHANNON PHILLIPS (NPI# 1679949648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679949648
Entity Type Individual
Full Name SHANNON PHILLIPS
Credential PA
Practice Address 12605 E 16th Ave
Aurora
CO 80045-2545
Mailing Address 777 Bannock St
Denver
CO 80204-4507
Practice Telephone 7208480000
Enumeration Date 2015-08-13
Last Update Date 2020-03-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
4856 CO Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
079192 IA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
777 Bannock St, Denver, CO 802044507 3036022717

Other Providers SHANNON PHILLIPS

NPI Name Taxonomy Address Enumeration
1528531845 Shannon Phillips Technician 215 Fitchburg St Sw, Palm Bay, FL 32908-1302 2019-01-09
1861962656 Shannon Phillips Speech-Language Pathologist 2119 Pocomoke Beltway, Pocomoke City, MD 21851-3025 2018-12-05
1598268716 Shannon Phillips Nutritionist 3687 E Geddes Ave, Centennial, CO 80122-2202 2018-03-14
1366864381 Shannon Phillips Rehabilitation Practitioner 935 Cantabria Heights Ave, Las Vegas, NV 89183-4646 2014-01-10
1811969165 Shannon E Phillips Jr. Nurse Practitioner 116 N. Houston St., Edgewood, TX 75117 2006-02-02
1134669401 Shannon Phillips Social Worker 303 N Madison St, Corinth, MS 38834-5072 2017-03-06
1447607668 Shannon Phillips Case Manager/Care Coordinator 10 Meadowbrook Rd, Brockton, MA 02301-7122 2016-05-17
1245696228 Shannon Phillips Nurse Practitioner 1701 S Florissant Rd, Saint Louis, MO 63121-1131 2016-01-06
1710258678 Shannon Elizabeth Phillips Counselor 2638 Two Notch Rd, Suite 106, Columbia, SC 29204-1454 2012-01-24
1952671927 Shannon Phillips Counselor 4455 Ne Highway 20, Corvallis, OR 97330-9695 2012-01-09

Office Location

Street Address 12605 E 16TH AVE
City AURORA
State CO
Zip Code 80045-2545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556694 Mark Armin Levine Internal Medicine 12605 E 16th Ave, Aurora, CO 80045-2545 2005-05-23
1962001719 Poudre Valley Medical Group, LLC Social Worker 12605 E 16th Ave, Aurora, CO 80045-2545 2020-10-22
1811595473 Jason Hayes Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-10-15
1710584560 Alleson Bayer Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-10-05
1316554009 Lisa Najera Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-09-26
1699382705 James Lloyd Martin Jr. Pharmacy 12605 E 16th Ave, Aurora, CO 80045-2545 2020-09-23
1740808575 Beth Lee Smilkstein Physician Assistant 12605 E 16th Ave, Aurora, CO 80045-2545 2020-07-08
1780200907 Amanda Marie Miller-sarmento Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-06-23
1558987909 Heather Ann Sutton Counselor 12605 E 16th Ave, Aurora, CO 80045-2545 2020-06-22
1982220349 Rocco James Miele Nurse Practitioner 12605 E 16th Ave, Aurora, CO 80045-2545 2020-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942817408 Salwa Mourtada Bamba Nurse Practitioner University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 2020-09-29
1114545233 Chun Cheong Tsui Student in an Organized Health Care Education/Training Program 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 2020-07-07
1487278719 James Charles Tuka IIi Social Worker 1700 North Wheeling, Aurora, CO 80045 2020-06-02
1427677806 Justin Yu Student in an Organized Health Care Education/Training Program 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 2020-04-15
1558980011 Erik Von Polsdofer Student in an Organized Health Care Education/Training Program Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 2020-04-14
1831718568 Luke Porter Bacon Student in an Organized Health Care Education/Training Program 3001 East 17th Place, Aurora, CO 80045 2020-04-13
1366061368 Hilary Novatt Student in an Organized Health Care Education/Training Program 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 2020-04-10
1376195362 Katie Tuck Pharmacist 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 2019-07-10
1518529130 Ronak Kamal Kapadia Student in an Organized Health Care Education/Training Program 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 2019-07-03
1245898253 Rasha Elbadry Ahmed Student in an Organized Health Care Education/Training Program Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 2019-06-04
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326588732 Elise Nicole Van Etten Physician Assistant 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 2017-03-03
1598185753 Emmanuel Lobo Physician Assistant 857 Vaughn St., Aurora, CO 80011 2014-04-25
1366879330 Harold Lisandro Mendoza Moreno Physician Assistant 2381 Lundquist Dr, Aurora, IL 60503-3635 2013-10-04
1629318472 Ricardo F Gonzalez Physician Assistant 6998 S Riverwood Way, Aurora, CO 80016-2486 2013-02-14
1548538457 Arapahoe Professional Surgical Assistants Physician Assistant 13918 E Mississippi Ave # 474, Aurora, CO 80012-3603 2011-12-06
1225284490 Arenas Surgical Services Physician Assistant 1999 Ione Ln, Aurora, IL 60503-7826 2008-08-07
1689896557 Mark Brian Hinton Physician Assistant 19884 E. Vassar Ave., Aurora, CO 80013 2007-05-02
1649305343 Colorado Physician Surgical Asst Inc Physician Assistant 1673 S Flanders Way, Aurora, CO 80017-5509 2007-02-22
1033260963 Patrick E Byrge Physician Assistant 21870 E Briarwood Dr, Suite #1321, Aurora, CO 80016-6034 2007-01-16
1255987772 Jordan Francesca Macri Physician Assistant 12605 E 16th Ave, Aurora, CO 80045-2545 2019-08-12
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Competitor

Search similar providers

City AURORA
Zip Code 80045

Improve Information

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Dataset Information

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.

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