Healthcare Provider Details

I. General information

NPI: 1083427413
Provider Name (Legal Business Name): SHANNON EDWARDS BHS, CPM, RM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5298 SHETLAND CT
HIGHLANDS RANCH CO
80130-3901
US

IV. Provider business mailing address

5298 SHETLAND CT
HIGHLANDS RANCH CO
80130-3901
US

V. Phone/Fax

Practice location:
  • Phone: 720-437-1982
  • Fax:
Mailing address:
  • Phone: 720-437-1982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMWR.0000262
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: