Active NPI
Shannon Schaefer Kessler, O.D.
- Low Vision Rehabilitation Optometrist
- Aurora, CO
National Provider Identifier
1588856058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 2651
- Practice address
- 14400 E Jewell Ave
Aurora, CO 80012-5689 - Phone
- (303) 270-6407
- Fax
- (303) 751-0171
- NPI assigned
- Aug 17, 2007
- Last updated
- Apr 20, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2651 | CO | |
| Optometrist | 152W00000X | 3229ATI | OR | |
| Optometrist | 152W00000X | OD 60031965 | WA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 2651 | CO | Primary |
Addresses
Primary practice location
14400 E Jewell Ave
Aurora, CO 80012-5689
Mailing address
14400 E Jewell Ave
Aurora, CO 80012-5689
Phone (303) 270-6407
Other names 1
- Miss Shannon Nicole Schaefer
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD 60031965 | WA | MD | Optometrist |
| 2651 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ensight Skills Center, Inc. | Low Vision Rehabilitation | Past | Accepting new patients |
| Northglenn Optometric Center, P.C. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Low Vision Rehabilitation Optometrist
- Fort Collins, CO
- NPI 1003885716
-
- Optometrist
- Northglenn, CO
- NPI 1922281377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1588856058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14400 E JEWELL AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800125689",
"telephone_number": "303-270-6407",
"fax_number": "303-751-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14400 E JEWELL AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800125689",
"telephone_number": "303-270-6407",
"fax_number": "303-751-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "SHANNON",
"middle_name": "SCHAEFER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2651",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3229ATI",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD 60031965",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CO",
"license": "2651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "SCHAEFER",
"middle_name": "NICOLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.