Individual provider Active NPI

Shanna Dillon

  • Occupational Therapist
  • El Paso, TX
National Provider Identifier
1043674278
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
117646 Issued in TX
Practice address
6800 Gateway Blvd E
BLDG 4a
El Paso, TX 79915-1040
Phone
(915) 779-7827
Fax
(915) 779-7829
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 117646 TX Primary

Addresses

Primary practice location

6800 Gateway Blvd E
BLDG 4a
El Paso, TX 79915-1040

Mailing address

6800 Gateway Blvd E
BLDG 4a
El Paso, TX 79915-1040
Phone (915) 779-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1043674278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 GATEWAY BLVD E",
            "address_2": "BLDG 4A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151040",
            "telephone_number": "915-779-7827",
            "fax_number": "915-779-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 GATEWAY BLVD E",
            "address_2": "BLDG 4A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151040",
            "telephone_number": "915-779-7827",
            "fax_number": "915-779-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "SHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.