Individual
SHANNON BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1124 WASHINGTON BLVD, NEWCASTLE, WY 82701-2972
(307) 746-3700
Mailing address
2801 PURCELL ST, BRIGHTON, CO 80601-3551
(303) 659-9700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294465YN7Q
MEDICARE PTAN
CO
Enumeration date
06/22/2010
Last updated
12/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us