Shannon Elizabeth Derricks in Springfield - Athletic Trainer
Shannon Elizabeth Derricks - NPI 1114919057
Shannon Elizabeth Derricks is a Athletic Trainer in Springfield, Missouri. Shannon Elizabeth Derricks practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Shannon Elizabeth Derricks is 1114919057. The last update date is 2007-07-08.
Shannon Elizabeth Derricks's current location address is 901 S National Ave, Springfield, Missouri. You can contact this provider via phone number 4178365461 and fax number 4178366101. The mailing address for Shannon Elizabeth Derricks is 901 S National Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Elizabeth Derricks |
|---|---|
| Address | 901 S National Ave, Springfield, Missouri |
| Phone Number | 4178365461 |
| Fax Number | 4178366101 |
| Sole Proprietor | X |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1114919057 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 901 S National Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658040027 |
| Phone Number | 4178365461 |
| Fax Number | 4178366101 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 109649 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon Elizabeth Derricks?
The Shannon Elizabeth Derricks has been issued the NPI (National Provider Identifier) 1114919057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Shannon Elizabeth Derricks is physically located?
The Shannon Elizabeth Derricks is physically situated at the following address: 901 S National Ave, Springfield, MO, 658040027.
What is Shannon Elizabeth Derricks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon Elizabeth Derricks's specialized field of practice is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of specialization is 2255A2300X.
On what date did the Shannon Elizabeth Derricks receive its 1114919057 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Elizabeth Derricks was assigned its 1114919057 by the Centers for Medicare & Medicaid Services on 2005-08-17.
As of what date was the information pertaining to Shannon Elizabeth Derricks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannon Elizabeth Derricks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.