Individual provider Active NPI

Shannon Yvette Everitt

  • Attendant Care Provider
  • Olathe, KS
National Provider Identifier
1316658982
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
1707 E Cedar St Ste 102
Olathe, KS 66062-1886
Phone
(816) 977-3178
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Primary

Addresses

Primary practice location

1707 E Cedar St Ste 102
Olathe, KS 66062-1886

Mailing address

622 N Winnebago Dr
Lake Winnebago, MO 64034-9419
Phone (985) 710-3202

Other practice location 1

622 N Winnebago Dr
Lake Winnebago, MO 64034-9419
Phone (985) 710-3202

Other identifiers 1

IdentifierTypeStateIssuer
201121410AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannone@hallmentalhealth.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Treatment Services, LLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

1707 E Cedar St
Ste 102
Olathe, KS 66062
Phone (816) 977-3178

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1316658982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N WINNEBAGO DR",
            "city": "LAKE WINNEBAGO",
            "state": "MO",
            "postal_code": "640349419",
            "telephone_number": "985-710-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E CEDAR ST STE 102",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621886",
            "telephone_number": "816-977-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 N Winnebago Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Winnebago",
            "state": "MO",
            "postal_code": "640349419",
            "country_code": "US",
            "telephone_number": "985-710-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERITT",
        "first_name": "SHANNON",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201121410A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannone@hallmentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1707 E Cedar St Ste 102",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660621886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.