MRS. DEBORAH EILEEN SHOCK (NPI# 1013113828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013113828 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH EILEEN SHOCK |
| Credential | ANP-C |
| Practice Address |
275 W Hwy 50 Canon City CO 81212 |
| Mailing Address |
7240 Ashley Dr Colorado Springs CO 80922-1637 |
| Practice Telephone | 7192694078 |
| Mailing Telephone | 7195917116 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
99150 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
275 W HWY 50 |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| 1891913869 | Safe Watch, Inc. | Home Health | 815 Garden Park Rd, Canon City, CO 81212 | 2007-04-23 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336194299 | Mary Ann Elizabeth Alessi-richards | Nurse Practitioner | 3225 Independence Rd, Canon City, CO 81212-9380 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190415 | Brittany Delmonico | Nurse Practitioner | 5224 Coralberry Ct, Fort Collins, CO 80525-5506 | 2020-09-27 |
| 1649884461 | Jenna Dalton Kuhl | Nurse Practitioner | 5 S Pearl St, Denver, CO 80209-2013 | 2020-08-31 |
| 1235747809 | Megan Gottsch | Nurse Practitioner | 1838 E 33rd Ave, Denver, CO 80205-4057 | 2020-07-20 |
| 1497363196 | Grace A Worland | Nurse Practitioner | 1065 Jade St, Broomfield, CO 80020-1862 | 2020-07-19 |
| 1477171247 | Emily Hull-lierheimer | Nurse Practitioner | 4755 Timber Wolf Trl, Colorado Springs, CO 80920-7671 | 2020-07-08 |
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1053953521 | Jason Rogers | Nurse Practitioner | 11988 Black Hawk Dr, Conifer, CO 80433-7140 | 2019-10-16 |
| 1598306623 | Minnie Nguyen Chau | Nurse Practitioner | 12605 E 16th Ave Fl 1, Aurora, CO 80045-2545 | 2019-09-30 |
| 1841841681 | Larry Vo | Nurse Practitioner | 12631 E 17th Ave Bldg Ao1, Aurora, CO 80045-2527 | 2019-09-23 |
| 1679121016 | Gwendolyn Eshie Elango | Nurse Practitioner | 21427 E Ottawa Cir, Aurora, CO 80016-2658 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
Please comment or provide details below to improve the information on MRS. DEBORAH EILEEN SHOCK.
| 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.