Shanna Shushereba, M.A.

Key facts

NPI

1760933642

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

1724 N Gilpin St
Denver, CO 80218-1206

Phone

(720) 461-8451

Fax

(303) 237-6873

NPI assigned

Oct 17, 2016

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2016.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1760933642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 N GILPIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181206",
            "telephone_number": "720-461-8451",
            "fax_number": "303-237-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 N GILPIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181206",
            "telephone_number": "720-461-8451",
            "fax_number": "303-237-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSHEREBA",
        "first_name": "SHANNA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Denver, CO · Case Manager/Care Coordinator in Colorado