Individual provider Active NPI

Sonya Shaw, DNP, FNP-BC

  • Family Nurse Practitioner
  • La Junta, CO
National Provider Identifier
1396821849
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997950-NP Issued in CO
Practice address
30 Yucca Rd
La Junta, CO 81050-2747
Phone
(907) 310-1171
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0997950-NP CO Primary

Addresses

Primary practice location

30 Yucca Rd
La Junta, CO 81050-2747

Mailing address

30 Yucca Rd
La Junta, CO 81050-2747
Phone (907) 310-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150917002345 TX Practitioner - Nurse Practitioner 8820305253 Reassigns benefits to 1 organization
I20180326000180 CO Practitioner - Nurse Practitioner 8820305253 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Community Health Center Incorporated CurrentSince Dec 4, 2023 Accepting new patients
High Plains Community Health Center, Incorporated CurrentSince Dec 4, 2023 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Aug 3, 2015 Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 12, 2018 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 12, 2018 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Aug 3, 2015 Accepting new patients
Panhandle Family Care LLC PastSince Feb 7, 2021 Accepting new patients

Locations

500 Indiana Ave
Winslow, AZ 86047

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

201 Kendall Dr
Lamar, CO 81052
Phone (719) 336-0261

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1396821849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 YUCCA RD",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502747",
            "telephone_number": "907-310-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 YUCCA RD",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502747",
            "telephone_number": "907-310-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SONYA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997950-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

Verify at the official NPI Registry.