SHANNON LYONS (NPI# 1487117818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487117818 |
| Entity Type | Individual |
| Full Name | SHANNON LYONS |
| Credential | DO |
| Practice Address |
311 W 14th St Pueblo CO 81003-2705 |
| Mailing Address |
400 W 16th St Pueblo CO 81003-2781 |
| Practice Telephone | 7195957585 |
| Mailing Telephone | 7195957585 |
| Mailing Fax Number | 7195957589 |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | TL.0007833 | CO | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | TL.0007833 | CO | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013546134 | Shannon Celina Lyons | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-02 |
| 1659908457 | Shannon E Lyons | Speech-Language Pathologist | 1301 W Cossitt Ave, La Grange, IL 60525-2145 | 2020-03-24 |
| 1629568670 | Shannon Lyons | Case Manager/Care Coordinator | 132 S Water St Ste 604, Decatur, IL 62523-1061 | 2018-05-15 |
| 1497061048 | Shannon Lyons | Nurse Practitioner | 33 Kendall St, Worcester, MA 01605-2726 | 2010-08-20 |
| 1669684304 | Shannon Lyons | Speech-Language Pathologist | 1101 7th St, Brownwood, TX 76801-4123 | 2007-05-04 |
| Street Address |
311 W 14TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073522595 | Teresa Kay Braden | Emergency Medicine | 311 W 14th St, Pueblo, CO 81003-2705 | 2006-08-05 |
| 1811598907 | Amira Bakkar | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-11-04 |
| 1497373682 | Manaquibb Zain Ali Shaheer Khan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-07-14 |
| 1154949584 | Sohaib Ahmed Khan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-07-13 |
| 1427678986 | Blayne Anne Knapp | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-24 |
| 1053931980 | David Allen Mcmillan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-21 |
| 1699395822 | Neil Ashok Patel | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| 1992325104 | Mena Maher Tawfik | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| 1477173607 | Joseph Jared Beier | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| 1699336164 | Faisal Mahfooz | Internal Medicine | 311 W 14th St, Pueblo, CO 81003-2705 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1003276528 | Rachel Elizabeth Black | Student in an Organized Health Care Education/Training Program | 5306 Outlook Blvd Unit 101, Pueblo, CO 81008-1399 | 2016-02-25 |
| 1487041331 | Joshua Jay Borer | Student in an Organized Health Care Education/Training Program | 786 N Boyero Ave, Pueblo, CO 81007-1299 | 2015-04-17 |
| 1811598907 | Amira Bakkar | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-11-04 |
| 1497373682 | Manaquibb Zain Ali Shaheer Khan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-07-14 |
| 1154949584 | Sohaib Ahmed Khan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-07-13 |
| 1427678986 | Blayne Anne Knapp | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-24 |
| 1881214567 | Nathan S Grigg | Student in an Organized Health Care Education/Training Program | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-04-22 |
| 1053931980 | David Allen Mcmillan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-21 |
| 1699395822 | Neil Ashok Patel | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| Find all providers in PUEBLO | ||||
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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.