Shannon Acker

Key facts

NPI

1003574666

Entity type

Individual (NPI type 1)

Primary specialty

Certified Respiratory Therapist 227800000X

License

RT-2363 (AR)

Practice address

5905 Forest PL Ste 200
Little Rock, AR 72207-5287

Phone

(501) 566-1011

NPI assigned

Dec 1, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Complete Care Comprehensive Outpatient Rehabilitation Facility (CORF) · Little Rock, AR · NPI 1467906495
  NPD
• Arkansas Complete Care Physiological Laboratory · Hot Springs, AR · NPI 1801664925
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2021.

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1003574666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 AVIATION PLZ STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135531",
            "telephone_number": "501-525-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 FOREST PL STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075287",
            "telephone_number": "501-566-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "AR",
            "license": "RT-2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "completepulmonaryrehab.com",
            "affiliation": "N",
            "endpointDescription": "Little Rock",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5905 Forest Pl Ste 200",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722075287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "completepulmonaryrehab.com",
            "affiliation": "Y",
            "endpointDescription": "Little Rock",
            "affiliationName": "Arkansas Complete Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "190 Aviation Plz",
            "address_2": "Suite A-D",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719135529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

• Accessibility Specialties Inc
• Accessible Solutions for Independence, Inc.
• Stenia Accilien, MD
• Ach Physician Contracts
• Achievement Health Group, LLC
• Leslie Ackley
• Jennifer Leigh Acklin, MS OTR/L
• Jordyn Kristin Acoord
• James R Acree, PHD CRNA
• Active Living Medical Supply

All providers in Little Rock, AR · Certified Respiratory Therapist in Arkansas