SHANNON KEAGON YEAGER (NPI# 1902339617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902339617 |
| Entity Type | Individual |
| Full Name | SHANNON KEAGON YEAGER |
| Credential | BOCP, C.PED. |
| Practice Address |
2470 Patterson Rd Ste 9 Grand Junction CO 81505-1028 |
| Practice Telephone | 9702436000 |
| Mailing Telephone | 9702436000 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2470 PATTERSON RD STE 9 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164845541 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 2470 Patterson Rd Ste 9, Grand Junction, CO 81505-1028 | 2014-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700314036 | Sunee Kim Watts | Prosthetist | 7400 E Hampden Ave Unit C-5, Denver, CO 80231-4861 | 2017-05-31 |
| 1588813315 | Chad Benton Kincaid | Prosthetist | 1380 Monument Ct, Fruita, CO 81521-3053 | 2008-09-17 |
| 1326034620 | Joseph L Johnson | Prosthetist | 561 E Garden Dr, Ste H, Windsor, CO 80550-3148 | 2005-09-22 |
| 1104425008 | Pawel Brozka | Prosthetist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-21 |
| 1386243459 | Jordan Prindle | Prosthetist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-20 |
| 1144829219 | Todd Bush | Prosthetist | 415 N Greenwood St Ste E, Pueblo, CO 81003-3173 | 2020-10-20 |
| 1245838523 | Prosthetic Care Clinic LLC | Prosthetist | 6372 Kendall St, Arvada, CO 80003-5045 | 2020-10-09 |
| 1649891805 | Melissa Stockwell | Prosthetist | 384 E Garden of The Gods Rd Ste 140, Colorado Springs, CO 80907-4243 | 2020-04-29 |
| 1841859212 | Jason Paul Griffin | Prosthetist | 3955 E Exposition Ave Ste 102, Denver, CO 80209-5031 | 2019-06-10 |
| 1285121913 | Dennis Luse | Prosthetist | 3955 E. Exposition Ave., Suite #102, Denver, CO 80209 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
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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.