SHANNON PHILLIPS (NPI# 1679949648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 777 Bannock St, Denver, CO 802044507 | 3036022717 |
| 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 |
| Street Address |
12605 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2545 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| 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 |
| Find all providers in AURORA | ||||
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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.