Shannon Ann Kollerer, LEAD CARE MANAGER

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3555 Sonoma Hwy
Santa Rosa, CA 95409-4024

Phone

(707) 526-3150

NPI assigned

Aug 29, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• California Human Development Corporation

  • Substance Abuse Rehabilitation Facility
  • Santa Rosa, CA
  • NPI 1346618881
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1295217057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N SAN PEDRO RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SONOMA HWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094024",
            "telephone_number": "707-526-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLERER",
        "first_name": "SHANNON",
        "middle_name": "ANN",
        "credential": "LEAD CARE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Kohout
• David M. Koida, MD
• Kristin Ann Kolbinski, PSY.D.
• John W. Kolhoven
• Joy Stephenson Kolker, PHD
• Bruce Avrom Kolman, OTR/L, CHT
• Taralyn Marie Kolster
• Julia Kope
• Tatyana Kopilova, M.D.
• Alyssa Kopp

• Rehabilitation Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.