Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Barnes, PEERSUPPORTSPECIAL

Individual provider Peer Specialist · NPI 1306195946

Shannon Barnes, PEERSUPPORTSPECIAL is a Peer Specialist in Ogden, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

2628 Gramercy Ave
Ogden, UT 84401-2554
Phone: (801) 603-1702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (UT)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1306195946
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEERSUPPORTSPECIAL
Sole proprietorYes
NPI enumeratedAugust 29, 2012
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

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