Shanna Doucette Knierim, N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP-10085 Issued in CO

Practice address

301 W 6TH Ave
Mail Code 1911
Denver, CO 80204-5182

Phone

(303) 602-8361

NPI assigned

Jul 22, 2009

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1992935050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 6TH AVE",
            "address_2": "MAIL CODE 1911",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802045182",
            "telephone_number": "303-602-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 6TH AVE",
            "address_2": "MAIL CODE 1911",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802045182",
            "telephone_number": "303-602-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIERIM",
        "first_name": "SHANNA",
        "middle_name": "DOUCETTE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "NP-10085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KND Development 65, LLC
• Allison Ashley Kneeland, MD
• Emily Welch Kneeland, RN
• Carlyn Knickelbein, COTA/L
• Sara Knickerbocker, PH.D.
• Mackenzie Kniesche
• Ashley Jacqueline Kniffin, M.A.
• Ruth Finley Knight-Eckstein, P.A.
• Cory Knight
• Frances Knight

• Pediatric Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.