Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Shannon Elizabeth Derricks, ATC

Athletic Trainer in Springfield, MO · enumerated 2005 · practices at Missouri State University Athletic Training Servicesis.

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

National Provider Identifier

1114919057

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Ms. Shannon Elizabeth Derricks

Credential ATC

Sex Female

Practice address 901 S National Ave, Athletic Training Services, Springfield, MO, 65804

Phone (417) 836-5461

Fax (417) 836-6101

Enumeration date Aug 17, 2005

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 109649 (MO) Primary

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 Derricks practice?

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

What is the NPI number for Shannon Derricks?

The National Provider Identifier (NPI) for Shannon Derricks is 1114919057, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

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