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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. SHANNON ELIZABETH DERRICKS ATC
NPI 1114919057
Specialist/Technologist - Athletic Trainer in Springfield, MO

Active since August 17, 2005
901 S NATIONAL AVE, ATHLETIC TRAINING SERVICES, SPRINGFIELD, MO 65804(417) 836-5461(417) 836-6101 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Shannon Elizabeth Derricks Atc NPPES

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

MS. SHANNON ELIZABETH DERRICKS ATC (NPI 1114919057) is an individual athletic trainer provider in Springfield, Missouri, licensed in Missouri (109649) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1114919057
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMS. SHANNON ELIZABETH DERRICKSCredential: ATC
Location Address901 S NATIONAL AVE, ATHLETIC TRAINING SERVICESSpringfield, MO 65804-0027
Mailing Address901 S National Ave, Athletic Training ServicesSpringfield, MO 65804-0027
Phone(417) 836-5461
Fax(417) 836-6101
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1114919057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MO · 109649
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-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
901 S NATIONAL AVE, Springfield, MO 65804
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Other Providers at the Same Location NPPES 9

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

MR. JAMES THOMAS PENKALSKI ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE, FORSYTHE ATHLETIC CENTER, RM 109
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
MS. TIMAREE ANNE WALSH ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
GARY L WARD ATC, PT
Physical Therapist
901 S NATIONAL AVE, MISSOURI STATE UNIVERSITY
SPRINGFIELD, MO 65804
Greene County (417) 836-8553
MR. JEFF SCOTT PADEN ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
MR. STEPHEN PAUL SAWCHAK AT
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
MS. ROBIN E MEEKS ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
DR. MICHAEL BRIAN HUDSON PHD, ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-8553
MISSOURI STATE UNIVERSITY ATHLETIC TRAINING SERVICESIS
Clinic/Center
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-5461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Derricks's NPI number?

The NPI number for Shannon Derricks is 1114919057. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Shannon Derricks located?

Shannon Derricks practices at 901 S National Ave Athletic Training Services, Springfield, MO 65804. The listed phone number is (417) 836-5461.

What is Shannon Derricks's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Shannon Derricks was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.