Healthcare Provider Details

I. General information

NPI: 1215365994
Provider Name (Legal Business Name): SHANNON WRIGHT PMHNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHANNON CRAIG FNP-C, PMHNP-BC

II. Dates (important events)

Enumeration Date: 10/16/2013
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1864 WOODMOOR DR STE 214
MONUMENT CO
80132-9096
US

IV. Provider business mailing address

1864 WOODMOOR DR STE 214
MONUMENT CO
80132-9096
US

V. Phone/Fax

Practice location:
  • Phone: 719-631-1605
  • Fax: 719-249-9587
Mailing address:
  • Phone: 719-631-1605
  • Fax: 719-249-9587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0998448-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number780390
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number780390
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0998448-NP
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0998448-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: