Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Khattak, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639751142

Shannon Khattak, PA-C is a Physician Assistant in Lone Tree, Colorado. Qualified in 2022, 4 years ago. Practices with Mountain View Pain Specialists, a 53-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10375 Park Meadows Dr Ste 270
Lone Tree, CO 80124-6760
Phone: (720) 749-5599
Fax: (720) 925-5897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9888 E Vassar Dr Apt B106, Denver, CO 80231-5902 — (719) 472-4816

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0007435 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639751142
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 23, 2021
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mountain View Pain Specialists — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lone Tree