NPI age
11 years
Enumerated 2015-04-06
● Active
Type 1 · Individual
DR. Kristopher Ryan Shannon, M.D.
Shannon is 1 of 25 emergency medicine providers in Pocatello and 1 of 336 in Idaho.
Primary specialty
Emergency Medicine
Plus 3 subspecialties
Licensed in
ID, UT, NV
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 336 active emergency medicine providers in Idaho.
NPI age
11 years
↓ 7 yr below median (18 yr)
State licenses
3 states
Top 59% — 40% of peers are multi-state
Subspecialties
1
In the 51% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-04Enumerated in NPPES
2015
2026
Where they practice
Practice location
850 Yellowstone Ave
Pocatello, ID 832014415
Mailing address
98 Poplar St
Blackfoot, ID 832211799
Additional practice locations
1 secondary location on file with NPPES.
Location 2
98 Poplar St
Blackfoot, ID 832211799
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
-
Clinic/CenterDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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