SHANNON BARBARA ROSS (NPI# 1588621445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588621445 |
| Entity Type | Individual |
| Full Name | SHANNON BARBARA ROSS |
| Credential | PA |
| Practice Address |
2525 13th St Boulder CO 80304-4104 |
| Mailing Address |
1735 S Public Rd Ste 203 Lafayette CO 80026-7093 |
| Practice Telephone | 3034496050 |
| Practice Fax Number | 7205654132 |
| Mailing Telephone | 3036653036 |
| Mailing Fax Number | 3036653397 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0002309 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 64373215 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275923336 | Shannon Beth Ross | Counselor | 862 S Main Suite 4, Brigham City, UT 84302 | 2015-01-28 |
| 1619301868 | Shannon Vega Ross | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2013-08-23 |
| 1245596782 | Shannon Lee Ross | Case Manager/Care Coordinator | 1400 Sudderth Drive, Ruidoso, NM 88345 | 2012-04-10 |
| 1346534385 | Shannon Ross | Registered Nurse | 3641 Youth Town Rd, Pinson, TN 38366-9804 | 2011-06-07 |
| 1245556646 | Shannon A. Ross | Speech-Language Pathologist | 800 N Fant St, Anderson, SC 29621-5708 | 2010-04-12 |
| 1548294325 | Shannon Jean Ross | Physician Assistant | 3459 5th Ave, Upmc Starzl Transplant Institute, Pittsburgh, PA 15213-3236 | 2006-07-10 |
| 1598707267 | Shannon A Ross | Pediatrics | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2006-06-10 |
| Street Address |
2525 13TH ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814540 | Amy Alper | Physician Assistant | 2525 13th St, Boulder, CO 80304-4104 | 2005-10-10 |
| 1134762644 | Anika K Heng | Counselor | 2525 13th St, Boulder, CO 80304-4104 | 2019-10-28 |
| 1629628177 | Edith Helena Presler | Nurse Practitioner | 2525 13th St, Boulder, CO 80304-4104 | 2019-09-17 |
| 1356990691 | Alison Van Voorhees Davis | Nurse Practitioner | 2525 13th St, Boulder, CO 80304-4104 | 2019-09-09 |
| 1154861763 | Nicole Alexandra Safer | Social Worker | 2525 13th St, Boulder, CO 80304-4104 | 2017-03-01 |
| 1467805697 | Annie Williams | Pharmacist | 2525 13th St, Boulder, CO 80304-4104 | 2016-07-22 |
| 1003270174 | Thuy Mckitrick | Pharmacist | 2525 13th St, Boulder, CO 80304-4104 | 2016-04-05 |
| 1366802035 | Rachel Morr | Physician Assistant | 2525 13th St, Boulder, CO 80304-4104 | 2016-02-24 |
| 1841632700 | Allicia Williams | Pharmacist | 2525 13th St, Boulder, CO 80304-4104 | 2013-07-20 |
| 1265878631 | Breanna Tomlin | Obstetrics & Gynecology | 2525 13th St, Boulder, CO 80304-4104 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| 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 |
|---|---|---|---|---|
| 1750980298 | Rachel Wolfe | Physician Assistant | 38 Qualla Ct, Boulder, CO 80303-3900 | 2020-10-24 |
| 1568005510 | Haley Reiter | Physician Assistant | 5387 Manhattan Cir Ste 201, Boulder, CO 80303-4283 | 2019-10-22 |
| 1326515487 | Kathryn Desellem Devlin | Physician Assistant | 4222 Monroe Dr Apt D, Boulder, CO 80303-2189 | 2018-10-26 |
| 1396244836 | Trisha Quon | Physician Assistant | 4743 Arapahoe Ave Ste 102, Boulder, CO 80303-1123 | 2018-02-11 |
| 1992152482 | Hillary Smyth | Physician Assistant | 75 Manhattan Dr Ste 208, Boulder, CO 80303-4252 | 2016-05-16 |
| 1093180341 | Melissa Ortega | Physician Assistant | 565 Manhattan Dr, 102, Boulder, CO 80303-4051 | 2015-12-10 |
| 1265853790 | David James Mackey | Physician Assistant | 565 Hartford Dr, Boulder, CO 80305-5714 | 2013-12-31 |
| 1023381993 | Ara Rustad Haupt | Physician Assistant | 75 Manhattan Dr Mindful Pediatrics, Suite #4, Boulder, CO 80303 | 2012-02-22 |
| 1336339894 | Amanda Lauren Lapointe | Physician Assistant | 3434 47th St Ste 200, Boulder, CO 80301-1817 | 2007-07-30 |
| 1487855763 | Monica R Giamellaro | Physician Assistant | 1155 Alpine Ave Ste 280, Boulder, CO 80304-3493 | 2007-05-31 |
| Find all providers in BOULDER | ||||
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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.