Shea Donavon Bates

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1528313616 Issued in WY

Practice address

117 W 22ND Ave
Torrington, WY 82240-2301

Phone

(307) 532-2931

NPI assigned

Jun 25, 2018

Last updated

Jun 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1831684695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 22ND AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822402301",
            "telephone_number": "307-532-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 22ND AVE",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822402301",
            "telephone_number": "307-532-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "SHEA",
        "middle_name": "DONAVON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WY",
            "license": "1528313616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maisie Baros
• Rebecca Barraza
• Madison Bates
• Shad A Bates, BS
• Sharon L Bates, BA
• Toni L Bates
• Lynda E Baumgardner, MS LPC
• Kristen Bearnson
• Lawrence Beck, FNP-C
• Natalie I. Beck, FNP

• Case Manager/Care Coordinator in Torrington, WY
• Providers in Torrington, WY by specialty
• Case Manager/Care Coordinator in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.