KELLI SHANAHAN PA-C
NPI 1063829968
Physician Assistant in Denver, CO

Active since July 13, 2014
5000 CROWN BLVD, DENVER, CO 80239(720) 423-5808(720) 423-5773 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2022, Mar 3, 2016 (2 updates tracked since 2016).

About Kelli Shanahan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI SHANAHAN PA-C (NPI 1063829968) is an individual physician assistant in Denver, Colorado, licensed in Colorado (0003985) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1063829968
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI SHANAHANCredential: PA-C
Location Address5000 CROWN BLVDDenver, CO 80239-4378
Mailing Address5000 Crown BlvdDenver, CO 80239-4378 · (720) 423-5808 · Fax (720) 423-5773
Fax(720) 423-5773
Sole ProprietorNo
Enumeration DateJuly 13, 2014
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1063829968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · 0003985
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5000 CROWN BLVD, Denver, CO 80239

Other Identifiers 1

Medicaid08174881CO

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (School)
5000 CROWN BLVD
DENVER, CO 80239
Specialist/Technologist (Athletic Trainer)
5000 CROWN BLVD
DENVER, CO 80239
Social Worker
5000 CROWN BLVD
DENVER, CO 80239
Clinic/Center (Federally Qualified Health Center (FQHC))
5000 CROWN BLVD
DENVER, CO 80239
Social Worker (Clinical)
5000 CROWN BLVD
DENVER, CO 80239
Social Worker (Clinical)
5000 CROWN BLVD
DENVER, CO 80239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063829968, enumerated as an "individual" on July 13, 2014.

The provider is located at 5000 CROWN BLVD DENVER, CO 80239 and the phone number is (720) 423-5808.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.