Individual provider Active NPI

Shanna Haydu Bowman, NP

  • Family Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1780360065
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998803-NP Issued in CO
Practice address
1420 W Canal CT
St 20
Littleton, CO 80120-5660
Phone
(720) 466-1932
Fax
(720) 802-7462
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0998803-NP CO Primary

Addresses

Primary practice location

1420 W Canal CT
St 20
Littleton, CO 80120-5660

Mailing address

9071 E Mississippi Ave Apt 32E
Denver, CO 80247-2062
Phone (860) 488-0788

Other practice location 1

14221 E 4th Ave # 2-126
Aurora, CO 80011-8735
Phone (720) 507-4779

Other names 1

  • Mrs. Shanna Beth Haydu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230719001044 CO Practitioner - Nurse Practitioner 5496115628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartlight Family Clinic LLCGroup PAC ID 5597046219, 15 clinicians

Practice addresses (Care Compare)

1001 S Perry St
Suite 104B
Castle Rock, CO 80104-1950
Phone (720) 485-3178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0998803-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Path PLLC CurrentSince Aug 17, 2025 Accepting new patients
Mindful Springs Counseling LLC Past Accepting new patients

Locations

1420 W Canal Ct
Ste 20
Littleton, CO 80120
Phone (720) 466-1932

801 W Mineral Ave
Ste 101
Littleton, CO 80120
Phone (720) 466-1932

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1780360065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9071 E MISSISSIPPI AVE APT 32E",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472062",
            "telephone_number": "860-488-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT",
            "address_2": "ST 20",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205660",
            "telephone_number": "720-466-1932",
            "fax_number": "720-802-7462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14221 E 4th Ave # 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "SHANNA",
        "middle_name": "HAYDU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998803-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "HAYDU",
            "middle_name": "BETH",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.