Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Shannon R Staker, MD

Pediatrics Physician in Roosevelt, UT · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023078045

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Registry record

Entity type Individual (Type 1)

Name Dr. Shannon R Staker

Credential MD

Sex Female

Practice address 210 W 300 N 75-3, Roosevelt, UT, 84066

Phone (435) 722-3971

Fax (435) 722-6104

Enumeration date Mar 24, 2006

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 49110641205 (UT) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
D3849	Medicaid	UT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Shannon Staker practice?

The practice location on file with NPPES is in Roosevelt, UT. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Shannon Staker?

The National Provider Identifier (NPI) for Shannon Staker is 1023078045, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.