DR. TRACI SHAHAN


Address: 600 S Airport Rd Bldg A, Longmont, CO 80503-6424
Phone: 7203786900

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CO NURSING LICENSE 112531 01

Office Location

Street Address 600 S AIRPORT RD BLDG A
City LONGMONT
State CO
Zip Code 80503-6424

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1467981993 Donna Faye Georje Mchaney Nurse Practitioner 903 Reynolds Farm Lane, Longmont, CO 80503 2017-06-08
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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
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City LONGMONT
Zip Code 80503

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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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