Lindsey Shanks, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

30330 Palomino Dr
Evergreen, CO 80439-8602

Phone

(303) 670-7867

NPI assigned

Oct 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1780968859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 41 BOX 6827",
            "city": "APO",
            "state": "AE",
            "postal_code": "094640069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30330 PALOMINO DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398602",
            "telephone_number": "303-670-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "LINDSEY",
        "name_prefix": "Miss",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seniors' Resource Center, Inc. Evergreen
• Danielle A Serra, PTA
• Seven Dimensions Behavioral Health, LLC
• Seven Dimensions Behavioral Health, LLC
• Taylor Alexandra Sexton, PT, DPT
• Julie Anne Sharber, PT
• Donald G. Sharp, DDS
• Guofeng Shen, PH.D., BCBA-D
• Jina R Signorelli
• Eric Silvers

• Independent Duty Medical Technicians in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Independent Duty Medical Technicians in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.