Individual provider Active NPI

Shannon Marks

  • Pathology Specialist/Technologist
  • Lakewood, CO
National Provider Identifier
1760006845
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology Specialist/TechnologistTaxonomy code 246Q00000X
License
SLP.0004761 Issued in CO
Practice address
7100 W 13TH Ave Apt 213
Lakewood, CO 80214-4782
Phone
(303) 770-4682
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pathology Specialist/Technologist 246Q00000X SLP.0004761 CO Primary
Pathology Specialist/Technologist 246Q00000X SL015059 PA

Addresses

Primary practice location

7100 W 13TH Ave Apt 213
Lakewood, CO 80214-4782

Mailing address

3500 Rockmont Dr Apt 6103
Denver, CO 80202-2096
Phone (267) 885-5250

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP.0004761COMDPathology Specialist/Technologist
SL015059PAMDPathology Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1760006845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 ROCKMONT DR APT 6103",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022096",
            "telephone_number": "267-885-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 13TH AVE APT 213",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144782",
            "telephone_number": "303-770-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "CO",
            "license": "SLP.0004761",
            "primary": true
        },
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "PA",
            "license": "SL015059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.