MS. SHANNON ELIZABETH DERRICKS (ATC) – Athletic Trainer, NPI 1114919057

MS. SHANNON ELIZABETH DERRICKS (ATC) is a healthcare provider. based in Springfield, Missouri. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. 109649 (MO). The NPI Number for MS. SHANNON ELIZABETH DERRICKS (ATC) is 1114919057

Main info

Female
Name
MS. SHANNON ELIZABETH DERRICKS (ATC)
NPI
1114919057
Phone
Not provided
Address
901 S NATIONAL AVE
Enumeration Date
17 August 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MS. SHANNON ELIZABETH DERRICKS (ATC)

  • Missouri State University, 901, South National Avenue, Phelps Grove/University Heights, Springfield, Greene County, Missouri, 65807, United States

    ATHLETIC TRAINING SERVICES

    SPRINGFIELD, MO 658040027

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65804)

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Reviews

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Frequently asked questions

How do payers reference MS. SHANNON ELIZABETH DERRICKS (ATC)?
For MS. SHANNON ELIZABETH DERRICKS (ATC), use NPI 1114919057 as the unique 10-digit identifier.
Is MS. SHANNON ELIZABETH DERRICKS (ATC) shown as active in public data?
Registry records indicate MS. SHANNON ELIZABETH DERRICKS (ATC) maintains an active NPI.
What area of care is associated with MS. SHANNON ELIZABETH DERRICKS (ATC)?
MS. SHANNON ELIZABETH DERRICKS (ATC)'s record emphasizes Athletic Trainer. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. SHANNON ELIZABETH DERRICKS (ATC)?
Directory geography for MS. SHANNON ELIZABETH DERRICKS (ATC) centers on Springfield, Missouri.
Can I trust this NPI listing for MS. SHANNON ELIZABETH DERRICKS (ATC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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