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SHANNON BEDORE FNP
NPI 1215706296
Nurse Practitioner - Family in Crested Butte, CO

Active since January 01, 2024
318 ELK AVE STE 25, CRESTED BUTTE, CO 81224(916) 955-1147 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2025, Jun 21, 2025, Jan 1, 2024 (3 updates tracked since 2024).

About Shannon Bedore Fnp NPPES

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

SHANNON BEDORE FNP (NPI 1215706296) is an individual family provider in Crested Butte, Colorado, licensed in Colorado (C-RXN.0101238-C-NP) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1215706296
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON BEDORECredential: FNP
Location Address318 ELK AVE STE 25Crested Butte, CO 81224-5450
Mailing AddressPo Box 2761Crested Butte, CO 81224-2761 · (916) 955-1147
Phone(916) 955-1147
Sole ProprietorYes
Enumeration DateJanuary 1, 2024
Last NPPES UpdateJune 28, 20253 updates tracked since enumeration
NPPES CertifiedJune 28, 2025
✔ NPI 1215706296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CO · C-RXN.0101238-C-NP✔ Licensed in AZ · 267519
Also ListedRegistered NurseTaxonomy 163W00000X · License 267519 (AZ)
318 ELK AVE STE 25, Crested Butte, CO 81224
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bedore's NPI number?

The NPI number for Shannon Bedore is 1215706296. It was assigned to this individual provider in the NPPES registry on January 1, 2024.

Where is Shannon Bedore located?

Shannon Bedore practices at 318 Elk Ave Ste 25, Crested Butte, CO 81224. The listed phone number is (916) 955-1147.

What is Shannon Bedore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shannon Bedore was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.