Shannon Radak

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0991287 Issued in CO

Practice address

777 Bannock St
Denver, CO 80204-4507

Phone

(303) 436-6000

NPI assigned

Feb 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Craig HospitalGroup PAC ID 0941119259, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
• Craig Hospital Long-term care hospital, Englewood, CO, CCN 062011

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Craig Hospital

  • Long Term Care Hospital
  • Englewood, CO
  • NPI 1558522540
  Medicare reassignment Care Compare group NPD
• Craig Hospital

  • Long Term Care Hospital
  • Englewood, CO
  • NPI 1730144593
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Craig Hospital

  • Long Term Care Hospital
  • Englewood, CO
  • NPI 1730144593

  Long-term care hospital

  Care Compare affiliation
• HCA Healthone LLC

  • General Acute Care Hospital
  • Englewood, CO
  • NPI 1396790200
  Care Compare affiliation

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427500800000",
    "number": "1124410196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADAK",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0991287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Cohen Counseling, LLC
• Leanna Racine, DPT
• Kate Racioppi
• Peter L Rackow, M.D.
• Edward K Raczka
• Melissa Radcliffe, L.AC
• Workinesh Rade
• Alison Kelin Rademacher, MA CCC-A
• Gary M Rademacher, DC
• Anna Rademaker, IBCLC, LMT, CD, CE

• Family Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.