Shelby Lauren Stillion, RN

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

390 Yampa Ave
Craig, CO 81625-2600

Phone

(970) 824-5433

Fax

(719) 966-8108

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1972111508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 W 6TH ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816253839",
            "telephone_number": "970-326-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 YAMPA AVE",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252600",
            "telephone_number": "970-824-5433",
            "fax_number": "719-966-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLION",
        "first_name": "SHELBY",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1659035",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Kaleigh Simpson, LCSW
• Joanne Mattio Snow, LCSW
• Micki Stafko-Douglass, RDH
• Aaron Barker Stewart, DO
• Walter Colin Stewart, DO
• Elise D Sullivan, MD
• Kimberly Swenson, CMT
• Swing Bed
• Tamara K Rice MD PC
• Dean Taylor

• Peer Specialist in Craig, CO
• Providers in Craig, CO by specialty
• Peer Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.