SHANNON GIBSON (NPI# 1699157784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699157784 |
| Entity Type | Individual |
| Full Name | SHANNON GIBSON |
| Credential | MT |
| Practice Address |
131 Pinnacle Pl Durango CO 81301-7815 |
| Practice Telephone | 9704033152 |
| Mailing Telephone | 9704033152 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT.0010056 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285931980 | Shannon Gibson | Licensed Practical Nurse | 6431 Graceland Ave, Cincinnati, OH 45237-4405 | 2011-02-16 |
| 1407046600 | Shannon Brooke Gibson | Family Medicine | 411 Union St, Jonesboro, AR 72401-2834 | 2007-07-25 |
| 1972135135 | Shannon Gibson | Behavior Technician | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2020-02-06 |
| 1790332732 | Shannon Leigh Gibson | Social Worker | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-08-23 |
| 1730562190 | Shannon Nicole Gibson | Physician Assistant | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2015-07-02 |
| Street Address |
131 PINNACLE PL |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505696 | Tara Ryan-safran | Massage Therapist | 55 Westwood Pl Unit E3, Durango, CO 81301-6349 | 2020-07-17 |
| 1134760499 | Ryan J Swoverland | Massage Therapist | 1389 Florida Rd, Durango, CO 81301-4472 | 2019-10-07 |
| 1225513195 | Krista Waldron | Massage Therapist | 202 W 22nd St Ste 2, Durango, CO 81301-4618 | 2018-09-26 |
| 1265929095 | Emily Aucoin | Massage Therapist | 1032 1/2 Main Ave Ste 29, Durango, CO 81301-5124 | 2018-04-17 |
| 1528574704 | Nina June Heron | Massage Therapist | 1032 Main Ave, Durango, CO 81301-5124 | 2017-12-25 |
| 1598200412 | Stephanie Athena-marie | Massage Therapist | 1140 Main Ave Unit A, Durango, CO 81301-5387 | 2017-01-01 |
| 1013460393 | Rachel Marie Mcgehee | Massage Therapist | 6475 County Road 203, Durango, CO 81301-8642 | 2016-08-03 |
| 1861856007 | Julie Marie Huldin | Massage Therapist | 1816 Glenisle Ave, Durango, CO 81301-4946 | 2016-04-13 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1912302027 | Rebecca Arndt | Massage Therapist | 1537 Florida Rd Ste 105, Durango, CO 81301-5792 | 2014-10-31 |
| Find all providers in DURANGO | ||||
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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.