Shannon Gill, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-157122 Issued in NU

Practice address

565 S Logan St
Denver, CO 80209-4107

Phone

(720) 642-6455

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1144881848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 S LOGAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 S LOGAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094107",
            "telephone_number": "720-642-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SHANNON",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": "L-157122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rootstowinglactation.com",
            "affiliation": "N",
            "address_1": "565 S Logan St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802094107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Gilkerson, PT, DPT, OCS
• Colleen Angelic Gill, MS, RD
• Kathleen Gill
• Laura Gill, PT
• Sarena Kaur Gill, MD
• Wendy Parkinson Gill, MD
• Hannah Gillach
• Justyn Gillen
• Erica Jean Gillesby, CNM
• Aftin Marie Gillespie, LPC

• Lactation Consultant (Non-RN) in Denver, CO
• Providers in Denver, CO by specialty
• Lactation Consultant (Non-RN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.