MRS. SHANNON MICHELLE MONTAGUE (NPI# 1417312604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417312604 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MICHELLE MONTAGUE |
| Credential | ACNP |
| Practice Address |
6360 S 3000 E 210 Salt Lake City UT 84121-6923 |
| Practice Telephone | 4356158822 |
| Mailing Telephone | 4356158822 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
345074-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6360 S 3000 E 210 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-6923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801340823 | Lorna Baer | Nurse Practitioner | 6360 S 3000 E, Suite 220, Salt Lake City, UT 84121-6923 | 2016-08-08 |
| 1821468109 | Davidson Orthopedics LLC | Orthopaedic Surgery | 6360 S 3000 E, Suite 200, Salt Lake City, UT 84121-6923 | 2015-09-30 |
| 1760859300 | Christopher Matich | Physician Assistant | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2015-08-31 |
| 1851777353 | Utah Orthopedic, Spine & Injury Center | Orthopaedic Surgery | 6360 S 3000 E, Salt Lake City, UT 84121-6923 | 2015-08-06 |
| 1194119149 | Emily Bloomquist | Physician Assistant | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2015-03-26 |
| 1982007530 | Rebecca Thatcher | Physician Assistant | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2014-09-26 |
| 1427463439 | Anesthesia Associates of Utah LLC | Nurse Anesthetist, Certified Registered | 6360 S 3000 E, Suite 320, Salt Lake City, UT 84121-6923 | 2014-06-27 |
| 1043659055 | Benjamin Arthur Thomas | Podiatrist | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2013-06-24 |
| 1831450113 | Physical Therapy and Sports | Physical Therapist | 6360 S 3000 E, Suite 210, Salt Lake City, UT 84121-6923 | 2012-06-04 |
| 1295003234 | Abbie Lyn Siebenhaar | Physician Assistant | 6360 S 3000 E, Ste 310, Salt Lake City, UT 84121-6923 | 2011-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353268 | Kassandra Olson | Nurse Practitioner | 3151 E 3900 S, Salt Lake City, UT 84124-2143 | 2020-04-01 |
| 1609426659 | Loriann Stromness | Nurse Practitioner | 5121 S Cottonwood St Ste 700, Salt Lake City, UT 84107-5701 | 2019-09-11 |
| 1447802418 | Amanda Nichole Eckersley | Nurse Practitioner | 8th Avenue C Street, Salt Lake City, UT 84143-0001 | 2019-07-10 |
| 1750858643 | Kristen Elena Gooch | Nurse Practitioner | 36 S State St Ste 2100, Salt Lake City, UT 84111-1472 | 2018-10-29 |
| 1659853992 | Jessica Singer | Nurse Practitioner | 762 E Browning Ave, Salt Lake City, UT 84105-2209 | 2018-09-04 |
| 1184147175 | Suzanne Milne | Nurse Practitioner | Lds Hospital 8th Avenue and C St Fl 8, Salt Lake City, UT 84143-0001 | 2017-07-20 |
| 1366964728 | Matthew Wayne Jarvis | Nurse Practitioner | 1250 E 3900 S Ste 30, Salt Lake City, UT 84124-1354 | 2017-07-07 |
| 1841749256 | Ashle Mayme Crane | Nurse Practitioner | 4435 S Loren Von Dr, Salt Lake City, UT 84124-3839 | 2016-09-26 |
| 1417405044 | Brett Lavar Carroll | Nurse Practitioner | 8 Th Ave & C Street E8, Salt Lake City, UT 84143-0001 | 2016-09-12 |
| 1487042537 | Adult Care Clinic Inc | Nurse Practitioner | 3920 S 1100 E Ste 250, Salt Lake City, UT 84124-1213 | 2014-12-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
Please comment or provide details below to improve the information on MRS. SHANNON MICHELLE MONTAGUE.
| 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.