Shannon Derricks, ATC
NPI 1114919057 · Athletic Trainer · Springfield, MO
Shannon Derricks, ATC is a Athletic Trainer provider in Springfield, MO (NPI 1114919057).
Provider details
- NPI number
- 1114919057
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- License
- 109649 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shannon Derricks's NPI number?
- Shannon Derricks's National Provider Identifier (NPI) is 1114919057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Derricks's specialty?
- Shannon Derricks is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shannon Derricks located?
- Shannon Derricks's practice location on file with NPPES is 901 S National Ave, Springfield, MO 65804-0027.
- What is Shannon Derricks's phone number?
- The practice phone number listed in the NPPES registry for Shannon Derricks is (417) 836-5461.
- Is Shannon Derricks's NPI active?
- Yes — Shannon Derricks's NPI (1114919057) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.