Shannon Frances Mayer, MA, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2012025629 Issued in MO

Practice address

1657 Schulte Rd
Saint Louis, MO 63146-4867

Phone

(217) 691-7212

NPI assigned

Nov 6, 2014

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1801292529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 SCHULTE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464867",
            "telephone_number": "217-691-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 SCHULTE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464867",
            "telephone_number": "217-691-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "SHANNON",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "MA, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2012025629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Mayberry, AGACNP-BC
• Joshua Casey Mayer, D.O.
• Laura Mayer, MA, RDN, LD
• Rabia Zafar Mayer, MD
• Raizl Mayer
• Tina Mayer, COTA
• Gillian Sloane Mayersohn, PSY.D., ABPP
• Angela Marie Mayes, APRN, MSN, NP-C
• D'Antay Mayes
• Erin Leeanne Mayeux, MD

• Athletic Trainer in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.