Shannon Auckly, RN
Individual provider Active NPI Infusion Therapy Registered Nurse · Fruita, CO
NPI 1770410367 · NPPES record last updated May 6, 2026
Key facts
- NPI
- 1770410367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infusion Therapy Registered Nurse 163WI0500X
- License
- 103363 (AZ)
- Practice address
- 522 Gewont LN
Fruita, CO 81521-4500 - Phone
- (928) 606-8297
- NPI assigned
- May 6, 2026
- 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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103363 | AZ | MD | Infusion Therapy Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | 103363 | AZ | Yes |
| Flight Registered Nurse | 163WF0300X | 103363 | AZ |
Addresses
Primary practice location
522 Gewont LN
Fruita, CO 81521-4500
Mailing address
522 Gewont LN
Fruita, CO 81521-4500
Phone (928) 606-8297
Other providers in Fruita, CO
- Leslie Allen
- Erica Ammons
- Mary Ellen Anderson
- Gary Gene Andreoletti
- Ashoka Mind and Body LLC
- B & L Specialty Team
- Bellarae Home Care Agency, LLC
- Brian Knight Belnap
- Lauren Nicole Bieker
- Jonathan E Blaha
All providers in Fruita, CO · Infusion Therapy Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.