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SHANNON S POULOS
NPI 1285444927
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since January 13, 2025
3150 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110(505) 633-8173 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon S Poulos NPPES

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

SHANNON S POULOS (NPI 1285444927) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1285444927
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON S POULOS
Location Address3150 CARLISLE BLVD NE STE 105Albuquerque, NM 87110-1680
Mailing Address2620 S Miller Dr Apt 202Lakewood, CO 80227-2743
Phone(505) 633-8173
Sole ProprietorNo
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1285444927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3150 CARLISLE BLVD NE STE 105, Albuquerque, NM 87110
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Other Providers at the Same Location NPPES 20

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

SUSAN L WEISS MSC.
Student in an Organized Health Care Education/Training Program
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 663-8173
JAY BLACKWELL MA, LPCC
Counselor (Professional)
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 652-4659
DANA LOCKE
Student in an Organized Health Care Education/Training Program
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 663-6017
KELSEY LYNNE DOUGLASS MSW
Social Worker
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 663-6035
SIMONE MICHELE ALI
Peer Specialist
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 633-8173
DEVIN DARBY WHEELER MA
Behavior Analyst
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 345-8471
AIDAN ALTIK
Student in an Organized Health Care Education/Training Program
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 633-8173
DARIAN ALLEN
Peer Specialist
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 663-8173

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 Poulos's NPI number?

The NPI number for Shannon Poulos is 1285444927. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Shannon Poulos located?

Shannon Poulos practices at 3150 Carlisle Blvd NE Ste 105, Albuquerque, NM 87110. The listed phone number is (505) 633-8173.

What is Shannon Poulos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Poulos was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.