SHANNON PROCTOR


Address: 115 Parkside Dr, Colorado Springs, CO 80910-3130
Phone: 7195726340

SHANNON PROCTOR (NPI# 1881708618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881708618
Entity Type Individual
Full Name SHANNON PROCTOR
Other Name SHANNON CHAPPABITTY
Credential RN, LAC
Practice Address 115 Parkside Dr
Colorado Springs
CO 80910-3130
Mailing Address 312 E Yampa St
Colorado Springs
CO 80903-2945
Practice Telephone 7195726340
Practice Fax Number 7194474791
Mailing Telephone 7194751908
Enumeration Date 2006-08-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA0400X Registered Nurse
Specialization: Addiction (Substance Use Disorder)
163680 CO Nursing Service Providers

Office Location

Street Address 115 PARKSIDE DR
City COLORADO SPRINGS
State CO
Zip Code 80910-3130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548405848 Dolores Byers Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-12-16
1154576544 Kary A Tuinstra Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-11-26
1326293200 Jonay Argier Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-11-19
1679727002 Shawn Hill Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-11-12
1558515817 Shawnae Pallaro Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-11-12
1093969438 Michelle Ringol Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-11-12
1194979450 Ingrid Contreras Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-11-12
1093969354 Catherine Sharp Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-11-12
1932353364 Douglas Bennion Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-11-12
1073767414 Rolene Kostecka Counselor 115 Parkside Dr, Colorado Springs, CO 80910-3130 2008-11-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952955403 Marian Lin Mondy Social Worker 2909 Wellshire Blvd., Colorado Springs, CO 80910 2019-08-01
1538727474 Lisa Morales Audiologist 3225 International Cir Ste 102, Colorado Springs, CO 80910 2019-06-05
1134617038 Paul Gross Counselor 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 2018-04-25
1821502923 Kathleen Lubos Ambros-dahilig Dental Assistant 2240 Gilpin Ave, Colorado Springs, CO 80910 2017-11-28
1508384793 Shawn Maul Registered Nurse 115 S Parkside, Colorado Springs, CO 80910 2017-09-07
1376910521 Kelley Elizabeth Smith Bouchard Nurse Practitioner 3225 International Circle Suite 220, Colorado Springs, CO 80910 2015-08-24
1619353430 Dr. Steven Alan Gould Dds PC Dentist 2859 E. Fountain Blvd, Colorado Springs, CO 80910 2015-08-04
1881029155 Francis Hammet Chiropractor 411 Lakewood Circle A1104, Colorado Springs, CO 80910 2013-09-05
1447697586 Mcb Clinical Research Centers, LLC Psychologist 110 S. Parkside Drive, Colorado Springs, CO 80910 2013-05-30
1417206723 Augustus Albert Edwards Case Manager/Care Coordinator 115 Parkside Drive, Colorado Springs, CO 80910 2012-08-31
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Taxonomy Information

Taxonomy Code 163WA0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679971675 Michael Ryan Murphy Registered Nurse 2904 Franklin St, Denver, CO 80205-4512 2014-12-08
1073867727 Jean L Kortz Registered Nurse 8801 Lipan Street, Thornton, CO 80260 2012-11-02
1770881443 Larisa Erkaev Registered Nurse 2217 Champa St, Denver, CO 80205-2531 2011-03-04
1518297795 Donna Lindsey Registered Nurse 3707 Dexter Ct, Denver, CO 80207-1049 2010-01-11
1396359162 Scott William Lister Registered Nurse 206 Uvalda St, Aurora, CO 80011-8602 2020-08-31
1770197535 Gennady Shiling Registered Nurse 206 Uvalda St, Aurora, CO 80011-8602 2020-08-31
1770136053 Tammy Stevenson Registered Nurse 1155 Cherokee St, Denver, CO 80204-3632 2019-07-16
1053889212 Kylie Bivrell-walsh Registered Nurse 1155 Cherokee St, Denver, CO 80204-3632 2018-11-06
1861987984 Alicia Portillo Registered Nurse 1155 Cherokee St, Denver, CO 80204-3632 2018-07-01
1972096873 Marites D. Dilag Registered Nurse 1155 Cherokee St, Denver, CO 80204-3632 2018-06-14
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Competitor

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City COLORADO SPRINGS
Zip Code 80910

Improve Information

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Dataset Information

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.

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