Kelli R Shanahan (NPI# 1063829968, PAC ID# 9931327103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063829968 |
| PAC ID by PECOS | 9931327103 |
| Professional Enrollment ID | I20140829001100 |
| Full Name | Kelli R Shanahan |
| Organization Legal Name | FAMILY MEDICINE CLINIC PC |
| Address |
6179 S Balsam Way Suite 110 Littleton CO 80123-3092 |
| Phone Number | 3039338220 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5496645616 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060004 | PLATTE VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6179 S Balsam Way, Suite 110, Littleton, CO 80123-3092 | 3039338220 | FAMILY MEDICINE CLINIC PC |
| Organization Legal Name | FAMILY MEDICINE CLINIC PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon N Dyer | Nurse Practitioner | Family Medicine Clinic PC | 6179 S Balsam Way, Suite 110, Littleton, CO 80123-3092 |
| Street Address |
6179 S BALSAM WAY SUITE 110 |
| City | LITTLETON |
| State | CO |
| Zip | 80123-3092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Corcoran | Nurse Practitioner | Colorado Physician Partners Pllc | 6179 S Balsam Way, Suite 110, Littleton, CO 80123-3092 |
| Madelyn Palmer | Family Medicine | Colorado Physician Partners Pllc | 6179 S Balsam Way, Suite 110, Littleton, CO 80123-3092 |
| Timothy William James | Optometry | 6179 S Balsam Way, 130 Ken Caryl Vision Center, Littleton, CO 80123-3092 | |
| Frances D Faro | Orthopedic Surgery | Healthone Clinic Services - Orthopedic Specialists LLC | 6179 S Balsam Way, Suite 230, Littleton, CO 80123-3095 |
| Mary Reynolds | Family Medicine | Colorado Physician Partners Pllc | 6179 S Balsam Way, Suite 110, Littleton, CO 80123-3092 |
| Jared M Davis | Internal Medicine | 6179 S Balsam Way, Suite 210, Littleton, CO 80123-3093 | |
| Steven A Singer | Family Medicine | Colorado Physician Partners Pllc | 6179 S Balsam Way, Suite 110, Littleton, CO 80123-3092 |
| Shannon N Dyer | Nurse Practitioner | Family Medicine Clinic PC | 6179 S Balsam Way, Suite 110, Littleton, CO 80123-3092 |
| Jon J Cram | Family Practice | Summit Family Medicine Inc | 6179 S Balsam Way, Suite 210, Littleton, CO 80123-3093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne Marie Hall | Family Medicine | 5066 S Wadsworth Blvd, Suite 103, Littleton, CO 80123 | |
| Susan James-padilla | Clinical Social Worker | Jefferson Center for Mental Health | 9200 W Cross Dr, Suite 421, Littleton, CO 80123-0760 |
| Sally A Hellane | Clinical Social Worker | Jefferson Center for Mental Health | 9200 W Cross Dr, Suite 421, Littleton, CO 80123-0760 |
| Allan B Willett | Psychiatry | Jefferson Center for Mental Health | 9200 W Cross Dr, Suite 421, Littleton, CO 80123-0760 |
| Deidrea M Anderson | Clinical Social Worker | Jefferson Center for Mental Health | 9200 W Cross Dr, Suite 421, Littleton, CO 80123-0760 |
| Brynn Jollay | Clinical Social Worker | Jefferson Center for Mental Health | 9200 W Cross Dr, Suite 421, Littleton, CO 80123-0760 |
| Lisa D Brockmeier | Clinical Social Worker | Jefferson Center for Mental Health | 9200 W Cross Dr, Suite 421, Littleton, CO 80123-0760 |
| Cynthia Sarah Huang | Physical Therapy | Integrated Physical Therapy of Colorado PC | 9200 W Cross Dr, Suite 520, Littleton, CO 80123-0761 |
| Rebecca Jane Campbell | Physical Therapy | Integrated Physical Therapy of Colorado PC | 9200 W Cross Dr, Suite 520, Littleton, CO 80123-0761 |
| Nicole M Popper | Physical Therapy | Integrated Physical Therapy of Colorado PC | 9200 W Cross Dr, Suite 520, Littleton, CO 80123-0761 |
| Find all physicians in zip 80123 | |||
| City | LITTLETON |
| Zip Code | 80123 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LITTLETON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelli R Shanahan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.