Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON LEE HEATON
Active Sole ProprietorBehavioral Health, Residential · CASPER, WY
Registration Details
- NPI Number
- 1851625214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2009 (16.588585121322 yrs)
- Last Updated
- Oct 1, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
3415 MONTE VISTA DR.CASPER, WY, 82601Browse WY providers · Browse ZIP 82601
- Phone
- 3074721762
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in CASPER, WY
| Name | Credential | NPI |
|---|---|---|
| MR. FLOYD DALE WILMES II | OTRL | 1346302023 |
| MRS. SUSAN KAY KOLLMANN | RN | 1003960600 |
| MRS. ELLA LOUISE SUCHER | — | 1285756189 |
| RICK JUDE LAMOTTE | — | 1952531279 |
| JENNIFER LEIGH RYERSON-HEATON | — | 1669706412 |
| KIMBERLY ROSE GLYNN | — | 1598081960 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.