Active NPI
Shannon Johnson Bortolotto
- Clinical Nurse Specialist
- Denver, CO
National Provider Identifier
1326607755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 0106859
- Practice address
- 4200 Julian St
Denver, CO 80211-1610 - Phone
- (720) 848-0945
- NPI assigned
- Jun 10, 2019
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 0106859 | CO | Primary |
Addresses
Primary practice location
4200 Julian St
Denver, CO 80211-1610
Mailing address
4200 Julian St
Denver, CO 80211-1610
Phone (720) 848-0945
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0106859 | CO | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1326607755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 JULIAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802111610",
"telephone_number": "720-848-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 JULIAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802111610",
"telephone_number": "720-848-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORTOLOTTO",
"first_name": "SHANNON",
"middle_name": "JOHNSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CO",
"license": "0106859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.