Devin Michael Shannon, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.003784 Issued in IL

Practice address

2015 Nash Dr
Des Moines, IA 50314-2050

Phone

(515) 210-0822

NPI assigned

Dec 22, 2014

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1164810339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 NASH DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142050",
            "telephone_number": "515-210-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 NASH DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142050",
            "telephone_number": "515-210-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "DEVIN",
        "middle_name": "MICHAEL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haaris Shahid, DO
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• Andrea Shandri, M.ED, CD(DONA), CCCE
• Allison Shannon
• Ajay Sharma, D.O.
• Kathryn Michelle Sharp, MD
• Nuha Shash-Barazanji, MD
• Evelyn Maureen Shaw, DO
• Morgan Shaw, DO

• Athletic Trainer in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.