Shannon Marie Seckel, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0-1385 Issued in ID

Practice address

420 N 2ND Ave Ste 100
Sandpoint, ID 83864-1552

Phone

(208) 265-2242

NPI assigned

Jul 3, 2017

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.seckel.1@32745.direct.athenahealth.com
• Direct secure messaging: shannon.seckel.p1@direct.kch.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Boundary Regional Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Priest River, ID
  • NPI 1538447727
  Medicare reassignment NPD
• Boundary Regional Community Health Center Inc

  • Community/Retail Pharmacy
  • Sandpoint, ID
  • NPI 1780349241
  NPD
• Boundary Regional Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Bonners Ferry, ID
  • NPI 1306883244
  NPD (past)
• Boundary Regional Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sandpoint, ID
  • NPI 1316343320

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1316468002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N 2ND AVE STE 102",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641552",
            "telephone_number": "208-265-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N 2ND AVE STE 100",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641552",
            "telephone_number": "208-265-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECKEL",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "0-1385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herald E Schmidt, PT
• Amy Colleen Schroeder, LMP
• Schweitzer Fire Rescue District
• John M Seaman, MD
• Amy Seastone, DPT
• Rachel Anne Seitz, PHARMD
• Selkirk Family Medicine & Womens Health PLLC
• Selkirk General Surgery
• Selkirk Physical Therapy, PC
• Sequel Alliance Family Services, LLC

• Pediatrics Physician in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Pediatrics Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.