Shannon Wells, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

15234 Issued in CO

Practice address

401 N Dolores Rd
PO Box DD
Cortez, CO 81321-4213

Phone

(970) 565-1150

Fax

(970) 564-1654

NPI assigned

Mar 16, 2012

Sex

Female

Sole proprietor

No

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.

• Rocky Mountain Youth Medical & Nursing Consultants Inc

  • Pediatrics Physician
  • Thornton, CO
  • NPI 1730295296
  NPD (past)
• Rocky Mountain Youth Medical and Nursing Consultants, Inc

  • Multi-Specialty Clinic/Center
  • Cortez, CO
  • NPI 1245830124
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2012.

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1881969301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX DD",
            "address_2": "401 N. DOLORES ROAD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "970-565-1150",
            "fax_number": "970-564-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N DOLORES RD",
            "address_2": "PO BOX DD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813214213",
            "telephone_number": "970-565-1150",
            "fax_number": "970-564-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SHANNON",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "15234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Ward, RPH
• Kimberly Ann Washburn, N.P.
• Jane Henninger Weiland, CACII
• Weir Hometown Healthcare LLC
• Ronda Gail Weir, MSN, FNP-BC
• Shawn G Wells, PA-C
• West Coast Consulting
• Richard August Westerman, DDS
• Western Slope Native American Resource Center
• Ann L Wetton, MSW, PH.D.

• All providers in Cortez, CO
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.