DR. TRACI SHAHAN (NPI# 1871777193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871777193 |
Entity Type | Individual |
Full Name | DR. TRACI SHAHAN |
Credential | WHNP-BC |
Practice Address |
600 S Airport Rd Bldg A Longmont CO 80503-6424 |
Practice Telephone | 7203786900 |
Practice Fax Number | 8772418199 |
Mailing Telephone | 7203786900 |
Mailing Fax Number | 8772418199 |
Enumeration Date | 2007-12-21 |
Last Update Date | 2017-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
3082 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | NURSING LICENSE | 112531 | 01 |
Street Address |
600 S AIRPORT RD BLDG A |
City | LONGMONT |
State | CO |
Zip Code | 80503-6424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145025 | Home Care Colorado, LLC | In Home Supportive Care | 2919 17th Ave., Suite 215, Longmont, CO 80503 | 2020-02-07 |
1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
1427368299 | Sally Anne Thompson | Specialist | 3664 Oakwood Drive, Longmont, CO 80503 | 2010-10-14 |
1124357082 | Penny Trevithick | Specialist | 8380 Hygiene Rd, Longmont, CO 80503 | 2009-12-23 |
1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
1003142928 | Sarah Jean Dubbe | Massage Therapist | 1690 Brown Court, Longmont, CO 80503 | 2009-10-28 |
Find all providers in zip 80503 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801206487 | Kathy L. Plummer | Nurse Practitioner | 7720 S Broadway #440, Littleton, CO 80122-2624 | 2014-05-05 |
1790195501 | Kathryn J Snelson England | Nurse Practitioner | 7720 S. Broadway #440, Littleton, CO 80122-2624 | 2014-05-01 |
1184976169 | Mindy Gay Willits | Nurse Practitioner | 499 E Hampden Ave Ste 190, Englewood, CO 80113-3875 | 2012-10-15 |
1265664676 | Glenna E Kersten | Nurse Practitioner | 499 E Hampden Ave Ste 350, Englewood, CO 80113-3877 | 2009-08-18 |
1982868055 | Karen Hogan | Nurse Practitioner | 3124 S Parker Rd # A2-450, Aurora, CO 80014-6215 | 2008-07-17 |
1720207301 | Rickie Guida | Nurse Practitioner | 6179 S. Balsam, Suite 200, Littleton, CO 80123-9093 | 2007-04-24 |
1326267980 | Barbara J Ferris | Nurse Practitioner | 701 E Hampden Ave Ste 120, Englewood, CO 80113-2736 | 2007-04-24 |
1770626863 | Carol L Omeara | Nurse Practitioner | 10400 E. Alameda, Denver, CO 80241-5199 | 2007-02-15 |
1568578276 | Tamara M Burdi | Nurse Practitioner | 701 E. Hampden Ave, #120, Englewood, CO 80113 | 2006-08-23 |
1508862848 | Jeanine Cherpack Mccleery | Nurse Practitioner | 4200 E. 9th Ave. Box C288-5, Denver, CO 80262-0001 | 2005-06-22 |
Find all providers with the same taxonomy |
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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.