Active NPI
Shannon Kay West, CFA, CST
- Surgical Technologist
- Idaho Falls, ID
National Provider Identifier
1215089768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- Practice address
- 3155 Channing Way
Suite B
Idaho Falls, ID 83404-7561 - Phone
- (208) 535-4800
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | Primary |
Addresses
Primary practice location
3155 Channing Way
Suite B
Idaho Falls, ID 83404-7561
Mailing address
1200 Barney Dairy Rd
Rexburg, ID 83440-3546
Phone (208) 709-2063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102652 | Other | ID | CST, CFA |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1215089768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BARNEY DAIRY RD",
"city": "REXBURG",
"state": "ID",
"postal_code": "834403546",
"telephone_number": "208-709-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 CHANNING WAY",
"address_2": "SUITE B",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047561",
"telephone_number": "208-535-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "SHANNON",
"middle_name": "KAY",
"credential": "CFA, CST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CST, CFA",
"identifier": "102652",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.