Shannon M Wright, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT865 Issued in ME

Practice address

336 Dunn Hall
Orono, ME 04469-2210

Phone

(207) 581-1865

NPI assigned

Oct 29, 2014

Last updated

Mar 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1821493172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 STATE GYM",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500112210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DUNN HALL",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044692210",
            "telephone_number": "207-581-1865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 State Gym",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500112210",
            "country_code": "US",
            "telephone_number": "515-294-4184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "074481",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION",
            "identifier": "200017536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Perkins Walker, PH.D., CCC-SLP
• Sarah Walzak, PA-C
• Sherrie Lynn Weeks, ATC
• Kristen Whitney, APRN
• Brianna Heather Woodworth, ATC
• Richard Carl Young, ATC

• Athletic Trainer in Orono, ME
• Providers in Orono, ME by specialty
• Athletic Trainer in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.