KELLI SHANAHAN (NPI# 1063829968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063829968 |
Entity Type | Individual |
Full Name | KELLI SHANAHAN |
Credential | PA-C |
Practice Address |
1860 E Egbert St Brighton CO 80601-2475 |
Mailing Address |
203 S Rollie Ave Billing Dept - Credentialist Fort Lupton CO 80621-1508 |
Practice Telephone | 3036972583 |
Mailing Telephone | 3032864560 |
Mailing Fax Number | 3032864589 |
Enumeration Date | 2014-07-13 |
Last Update Date | 2016-12-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 0003985 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 08174881 | 05 |
Street Address |
1860 E EGBERT ST |
City | BRIGHTON |
State | CO |
Zip Code | 80601-2475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558368407 | Lisa J Ruschak | Family Medicine | 1860 E Egbert St, Brighton, CO 80601-2475 | 2005-07-07 |
1073124590 | Alexandra Jean Walkush | Physician Assistant | 1860 E Egbert St, Brighton, CO 80601-2404 | 2020-08-10 |
1861029993 | Kristen Nichole Robbins | Student in an Organized Health Care Education/Training Program | 1860 E Egbert St, Brighton, CO 80601-2404 | 2020-03-26 |
1295369361 | Ashley Ortiz | Student in an Organized Health Care Education/Training Program | 1860 E Egbert St, Brighton, CO 80601-2404 | 2020-02-27 |
1922661552 | Taylor Ashley Foster | Student in an Organized Health Care Education/Training Program | 1860 E Egbert St, Brighton, CO 80601-2404 | 2019-04-18 |
1326538604 | Monika Czekalska | Student in an Organized Health Care Education/Training Program | 1860 E Egbert St, Brighton, CO 80601-2404 | 2018-05-13 |
1316392152 | Jonathan Daniel Waldmann | Family Medicine | 1860 E Egbert St, Brighton, CO 80601-2404 | 2016-04-29 |
1033575261 | Norma Lopez | Physician Assistant | 1860 E Egbert St, Brighton, CO 80601-2475 | 2016-01-04 |
1013324367 | Lane Marie Bryant | Physician Assistant | 1860 E Egbert St, Brighton, CO 80601-2475 | 2014-07-18 |
1174940241 | Plan De Salud Del Valle Inc | Pharmacy | 1860 E Egbert St, Brighton, CO 80601-2475 | 2014-03-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326541228 | Dentists of Brighton, LLP | Dentist | 5127 E Bridge Street, Brighton, CO 80601 | 2018-03-16 |
1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
Find all providers in zip 80601 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033722822 | Natalie Miranda | Physician Assistant | 35 Henshaw St, Brighton, MA 02135-2927 | 2020-08-31 |
1235741067 | Karin Sampaio | Physician Assistant | 5155 Golden Eagle Pkwy, Brighton, CO 80601-8735 | 2020-08-22 |
1669090585 | Michael Joseph Core | Physician Assistant | 1626 Commonwealth Ave Apt 11, Brighton, MA 02135-5027 | 2020-07-07 |
1609434745 | Robert Connell | Physician Assistant | 36 Orkney Rd Apt 2, Brighton, MA 02135-7712 | 2019-06-04 |
1427533603 | John Peter Halfen Iv | Physician Assistant | 2801 Purcell St # 1, Brighton, CO 80601-3551 | 2018-10-03 |
1659856805 | Kelly Brianne Armstrong | Physician Assistant | 7500 Challis Rd Fl 2, Brighton, MI 48116-9416 | 2018-10-03 |
1538675418 | Karen K Minchow | Physician Assistant | 12000 E Big Cottonwood Canyon Rd, Brighton, UT 84121-9710 | 2017-12-14 |
1174068134 | Sarah Kolchinsky | Physician Assistant | 23 Egremont Rd, Apt #4, Brighton, MA 02135-7329 | 2016-12-30 |
1669855979 | Michelle Cummings | Physician Assistant | 1945 Commonwealth Ave, #32, Brighton, MA 02135-5963 | 2015-07-06 |
1891196895 | Steven Barrett | Physician Assistant | 8718 N Christine Dr, Brighton, MI 48114-4911 | 2014-09-09 |
Find all providers in BRIGHTON |
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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.