SCOTT SHANNON (NPI# 1205843596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205843596 |
| Entity Type | Individual |
| Full Name | SCOTT SHANNON |
| Credential | MD |
| Practice Address |
7603 Colland Dr Fort Collins CO 80525-6929 |
| Practice Telephone | 9706632686 |
| Practice Fax Number | 9706631226 |
| Mailing Telephone | 9706632686 |
| Mailing Fax Number | 9706631226 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
31090 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MD | 31090 | 01 |
| DEA | AS2387214 | 01 | |
| AM BOARD OF PSYH | 3573 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114299872 | Scott Shannon | Counselor | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2012-01-27 |
| Street Address |
7603 COLLAND DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-6929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407884000 | Medical Art Center of Fossil Creek | Clinic/Center | 7603 Colland Dr, Fort Collins, CO 80525-6929 | 2006-06-30 |
| 1245321066 | Tawnya R Lane | Physician Assistant | 7603 Colland Dr, Fort Collins, CO 80525-6929 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538278361 | Joseph M Gottfried | Psychiatry & Neurology | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2006-08-29 |
| 1912016718 | Usha Udupa | Psychiatry & Neurology | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1023544277 | Paula Riggs | Psychiatry & Neurology | 12469 East 17th Place, Building 400, Aurora, CO 80045 | 2017-05-10 |
| 1205254182 | Elizabeth Fenstermacher | Psychiatry & Neurology | 777 Bannock St Dept Of, Denver, CO 80204-4507 | 2014-03-28 |
| 1467725333 | Gordon King Farley | Psychiatry & Neurology | 12015 E 46th Ave Ste 500, Denver, CO 80239-3133 | 2012-02-22 |
| 1669759510 | Foster Winfield Cline Jr. | Psychiatry & Neurology | 5910 S Jellison St, Littleton, CO 80123-3526 | 2011-11-07 |
| 1548490287 | Jadon Ray Webb | Psychiatry & Neurology | 26 W Dry Creek Cir Ste 710, Littleton, CO 80120-8065 | 2009-07-15 |
| 1285879130 | Kristine Rasmussen Dangremond | Psychiatry & Neurology | 2950 Professional Place Suite 115, Pueblo, CO 81004 | 2008-12-06 |
| 1356500292 | Susan Mary Vanscoyk-simon | Psychiatry & Neurology | 1616 17th Street Suite 578, Denver, CO 80202 | 2008-06-05 |
| 1316113947 | Elaine Ann Sandler | Psychiatry & Neurology | 30772 Southview Dr Ste 150, Evergreen, CO 80439-2216 | 2008-05-04 |
| 1114118742 | Adam S Burstein | Psychiatry & Neurology | 1731 E 16th Ave, Denver, CO 80218-1628 | 2007-08-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.