Active NPI
Shannon Mayes, RN
- Registered Nurse
- Craig, CO
National Provider Identifier
1912374703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0200559
- Practice address
- 745 Russell Street
Craig, CO 81625 - Phone
- (970) 824-8233
- Fax
- (970) 824-2548
- NPI assigned
- Aug 27, 2015
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0200559 | CO | Primary |
Addresses
Primary practice location
745 Russell Street
Craig, CO 81625
Mailing address
940 Central Park Drive
Suite 101
Steamboat Springs, CO 80487
Phone (970) 879-1632
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0200559 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1912374703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 CENTRAL PARK DRIVE",
"address_2": "SUITE 101",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "80487",
"telephone_number": "970-879-1632",
"fax_number": "970-879-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 RUSSELL STREET",
"city": "CRAIG",
"state": "CO",
"postal_code": "81625",
"telephone_number": "970-824-8233",
"fax_number": "970-824-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "SHANNON",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "0200559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Craig, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.