What is Shane Poulsen's NPI number?

Shane Poulsen's National Provider Identifier (NPI) is 1710247788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Poulsen's specialty?

Shane Poulsen is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Shane Poulsen located?

Shane Poulsen's practice location on file with NPPES is 1344 W State Rd, Pleasant Grove, UT 84062-5022.

What is Shane Poulsen's phone number?

The practice phone number listed in the NPPES registry for Shane Poulsen is (801) 785-8870.

Is Shane Poulsen's NPI active?

Yes — Shane Poulsen's NPI (1710247788) is active in the NPPES registry as of the last update on 2012-05-23.

IndividualActive

Shane Poulsen

NPI 1710247788 · Community Health Worker · Pleasant Grove, UT

Shane Poulsen is a Community Health Worker provider in Pleasant Grove, UT (NPI 1710247788).

Provider details

NPI number: 1710247788
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 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

1344 W State Rd

Pleasant Grove, UT 84062-5022

Phone: (801) 785-8870

Street-level locationGet directions

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Mailing address