MRS. SHANNON LOUISE LIS CPNP NPI 1043726995

NPI Information

  • NPI: 1043726995
  • Provider Name: MRS. SHANNON LOUISE LIS, CPNP
  • Classification: Registered Nurse - 163WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 62 PORT OF SPAIN RD
    CORONADO, CA
    ZIP 92118
  • Phone: (619) 628-0183

Map and Directions

Get Directions

NPI Details

MRS. Shannon Louise Lis, CPNP is a pediatrics registered nurse in Coronado, CA. MRS. Shannon Louise Lis, CPNP NPI is 1043726995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

62 PORT OF SPAIN RD
CORONADO, CA
ZIP 92118-226
Phone: (619) 628-0183

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatrics487112CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.