Individual provider Active NPI

Shannon Quinn Dunlop, APRN

  • Family Nurse Practitioner
  • West Valley City, UT
National Provider Identifier
1750624672
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6654802-4405 Issued in UT
Practice address
2621 S 3270 W
West Valley City, UT 84119
Phone
(385) 261-2614
Fax
(877) 497-4661
NPI assigned
Mar 28, 2013
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6654802-4405 UT Primary
Inpatient Obstetric Registered Nurse 163WX0003X 6654802-3102 UT

Addresses

Primary practice location

2621 S 3270 W
West Valley City, UT 84119

Mailing address

1444 Yuma Street
Salt Lake City, UT 84108
Phone (801) 828-0996

Other practice location 1

8th Avenue and C Street
LDS Hospital
Salt Lake City, UT 84113
Phone (801) 408-3460

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sdunlop@chc-ut.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200507001242 UT Practitioner - Nurse Practitioner 7315378346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

1365 W 1000
Salt Lake City, UT 84116-1654
Phone (801) 328-5750

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6654802-3102UTMDInpatient Obstetric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Nov 1, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Nov 1, 2020 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Feb 7, 2023 Accepting new patients
Community Health Centers, Inc. Family Medicine Past Accepting new patients

Locations

980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

610 S 200 E
Ste B
Salt Lake City, UT 84111
Phone (801) 539-8617

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA
  • Direct secure messaging: shannon.dunlop@chcsl.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1750624672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 YUMA STREET",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84108",
            "telephone_number": "801-828-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S 3270 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "385-261-2614",
            "fax_number": "877-497-4661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8th Avenue and C Street",
            "address_2": "LDS Hospital",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84113",
            "country_code": "US",
            "telephone_number": "801-408-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNLOP",
        "first_name": "SHANNON",
        "middle_name": "QUINN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6654802-4405",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "UT",
            "license": "6654802-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sdunlop@chc-ut.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2621 S 3270 W",
            "city": "West Valley City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841191119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.