Active NPI
Sheela Nancy Mahnke, M.D.
- Pediatrics Physician
- Thornton, CO
National Provider Identifier
1811969264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 40457
- Practice address
- 9197 Grant St
Suite 200
Thornton, CO 80229-4329 - Phone
- (303) 450-3690
- Fax
- (303) 450-3699
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 40457 | CO | Primary |
Addresses
Primary practice location
9197 Grant St
Suite 200
Thornton, CO 80229-4329
Mailing address
9197 Grant St
Suite 200
Thornton, CO 80229-4329
Phone (303) 450-3690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10608729 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40457 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Youth Medical & Nursing Consultants Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- sheela.mahnke.1@14034.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Thornton, CO
- NPI 1730295296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457827200000",
"number": "1811969264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9197 GRANT ST",
"address_2": "SUITE 200",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294329",
"telephone_number": "303-450-3690",
"fax_number": "303-450-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9197 GRANT ST",
"address_2": "SUITE 200",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294329",
"telephone_number": "303-450-3690",
"fax_number": "303-450-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHNKE",
"first_name": "SHEELA",
"middle_name": "NANCY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2016-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "40457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10608729",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.