Active NPI
Danielle N Shook, FNP-C
- Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1902189103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP-990150
- Practice address
- 6820 Centennial Blvd
Colorado Springs, CO 80919-5114 - Phone
- (855) 925-4733
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN081578 | AZ | |
| Registered Nurse | 163W00000X | 111806 | CO | |
| Nurse Practitioner | 363L00000X | NP-990150 | CO | Primary |
Addresses
Primary practice location
6820 Centennial Blvd
Colorado Springs, CO 80919-5114
Mailing address
305 S Ridge St Unit 3488
Breckenridge, CO 80424-9136
Phone (719) 659-7156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN081578 | AZ | MD | Registered Nurse |
| 111806 | CO | MD | Registered Nurse |
| NP-990150 | CO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Altitude Mobile Physicians | Current | Accepting new patients | |
| Uch-MHS | Past | Accepting new patients |
Locations
305 S Ridge St
Unit 3488
Breckenridge, CO 80424
Phone (719) 354-8628
Organizations & group practices 2
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.
-
- Home Health Agency
- Breckenridge, CO
- NPI 1366945354
-
- Ambulance
- Colorado Springs, CO
- NPI 1417512559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1902189103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S RIDGE ST UNIT 3488",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "804249136",
"telephone_number": "719-659-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 CENTENNIAL BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809195114",
"telephone_number": "855-925-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOK",
"first_name": "DANIELLE",
"middle_name": "N",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN081578",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "111806",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "NP-990150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.