Shine, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHINE, LLC

Practice address

513 West St
Fort Collins, CO 80521-1860

Phone

(720) 280-2323

NPI assigned

Aug 12, 2016

Last updated

Feb 1, 2017By 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

Rebecca Eden

Title

Owner

Phone

(720) 280-2323

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1598219008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 WEST ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211860",
            "telephone_number": "720-280-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 WEST ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211860",
            "telephone_number": "720-280-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "EDEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-280-2323"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Devora Anne Shifriss, CERTIFIED DOULA
• Brianna Linn Shilling, NP
• Yerin Shim, M.A.
• Andrew Shimada
• Alison Shimoda
• Alexander Daniel Shinn, DO
• Alexa Shipman
• Katie Shiraz
• Shawn Shiraz
• Hanako Shishido, PH.D.

• Community/Behavioral Health Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.