Shannon Zolla, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

24-00891 Issued in KS

Practice address

10730 Nall Ave
Overland Park, KS 66211-1366

Phone

(913) 945-9820

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

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

Other identifiers 1

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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1215489034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16353 W 171ST TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660624122",
            "telephone_number": "619-917-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111366",
            "telephone_number": "913-945-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLA",
        "first_name": "SHANNON",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-00891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA-BOC",
            "identifier": "040802021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Zic, M.A.
• Cameron Zimmerman, PT
• Gina Catherine Zimmerman, OTR/L,CHT
• Erin Zinser, RBT
• Katherine Zlotky, APRN, FNP-C
• Julie Lynn Zukaitis, FNP-C
• Brianna Nicole Zumalt
• Taylor M Zuraski, LPC

• Athletic Trainer in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.