Shannon Patton

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2006033512 Issued in MO

Legal business name

SHANNON PATTON

Practice address

9993 Fox Hall CT
Saint Ann, MO 63074-2003

Phone

(314) 427-7825

Fax

(314) 427-7825

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Renee Patton

Title

Cota

Phone

(314) 427-7825

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1487962130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9993 FOX HALL CT",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630742003",
            "telephone_number": "314-427-7825",
            "fax_number": "314-427-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9993 FOX HALL CT",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630742003",
            "telephone_number": "314-427-7825",
            "fax_number": "314-427-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON PATTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "314-427-7825"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2006033512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY ASSISTANT",
            "identifier": "224Z00000Z",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Saint Ann, MO
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• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.