IndividualActive
Shannon Reck, HS, IDMT
NPI 1619015757 · Other Technician · South Portland, ME
Provider details
- NPI number
- 1619015757
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- HS, IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
259 High Street
US Coast Guard Sector Northern New England
South Portland, ME 04106
Phone: (207) 767-0339
Street-level locationGet directions
Mailing address
144 Hawthorne Ln
Westbrook, ME 04092-2756
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 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.