Shannon Shay Watkins

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-730LP Issued in WY

Practice address

100 Push Root CT
Lander, WY 82520-3460

Phone

(307) 332-5508

NPI assigned

Mar 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Child Development Services of Fremont County, Inc.

  • Clinic/Center
  • Lander, WY
  • NPI 1639389281
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1629219795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S 5TH ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203630",
            "telephone_number": "307-349-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PUSH ROOT CT",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203460",
            "telephone_number": "307-332-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SHANNON",
        "middle_name": "SHAY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "OTA-730LP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Bernat Voorhies, LMT, RBP, NCTMB
• Karla Lee Wagner, M.D.
• Walker Surgery and Endoscopy PC
• Elisabeth A Walkinshaw, OTR
• Rebecca Steele Wallingford
• Mikel Robert Weideman, O.D.
• Ali Sue Haines Weiss, MD
• Barbara Wellman, FNP-C
• Jason C West, MPT
• Jessica Carol West

• Occupational Therapy Assistant in Lander, WY
• Providers in Lander, WY by specialty
• Occupational Therapy Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.