DR. SELENA SHANTHI DASARI (NPI# 1982224002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982224002 |
| Entity Type | Individual |
| Full Name | DR. SELENA SHANTHI DASARI |
| Credential | MD |
| Practice Address |
2698 Patterson Rd Grand Junction CO 81506-8818 |
| Practice Telephone | 9702982196 |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2020-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CO | Student, Health Care |
| Street Address |
2698 PATTERSON RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-8818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559546 | Amy Davis | Family Medicine | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2005-12-21 |
| 1285254342 | Jesse Voth-gaeddert | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2020-04-19 |
| 1205456324 | Lynsay Bush | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2020-04-18 |
| 1649820481 | St Mary's Hospital and Medical Center, Inc | Psychologist | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2019-09-13 |
| 1952891475 | Allison Marsh | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-10 |
| 1760972285 | Ryan Sullivan | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-10 |
| 1932699352 | Jessica Stephen Premo | Marriage & Family Therapist | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-10 |
| 1477042596 | Bruce Sharp | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-03 |
| 1457840571 | Elizabeth Wright | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-03 |
| 1972092088 | Kishan Patel | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079283 | Jessica Adele Page | Student in an Organized Health Care Education/Training Program | 420 Broken Arrow Dr Unit A, Grand Junction, CO 81504-7635 | 2020-09-27 |
| 1679189831 | Mita White | Student in an Organized Health Care Education/Training Program | 2413 Brandys Ct, Grand Junction, CO 81507-1631 | 2020-09-22 |
| 1578177119 | Callen Marie Young | Student in an Organized Health Care Education/Training Program | 4 Merlot Ct, Grand Junction, CO 81507-1246 | 2020-09-01 |
| 1699389262 | Blythe Crow | Student in an Organized Health Care Education/Training Program | 551 Grand Ave Ste 304, Grand Junction, CO 81501-2694 | 2020-09-01 |
| 1255945895 | Emyleigh Opat | Student in an Organized Health Care Education/Training Program | 345 W Kennedy Ave Apt 12, Grand Junction, CO 81505-7192 | 2020-09-01 |
| 1245843085 | Brenna Ann Sanislo | Student in an Organized Health Care Education/Training Program | 3230 Beechwood St, Grand Junction, CO 81506-4833 | 2020-08-30 |
| 1134732076 | Keelin R Schaffrath | Student in an Organized Health Care Education/Training Program | 2753 Unaweep Ave, Grand Junction, CO 81503-2091 | 2020-08-29 |
| 1548873730 | Danielle Storm Pelletier | Student in an Organized Health Care Education/Training Program | 2237 N 20th St, Grand Junction, CO 81501-6707 | 2020-08-26 |
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1336797117 | Tiffany Dawn Petersen | Student in an Organized Health Care Education/Training Program | 2006 N 13th St, Grand Junction, CO 81501-8504 | 2019-08-26 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on DR. SELENA SHANTHI DASARI.
| 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.