MRS. SHANNON MARIA KEITH NPI 1083331763

NPI Information

  • NPI: 1083331763
  • Provider Name: MRS. SHANNON MARIA KEITH
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25 HOSPITAL CENTER BLVD
    HILTON HEAD, SC
    ZIP 29926
  • Phone: (843) 681-6122

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NPI Details

MRS. Shannon Maria Keith is an acute care nurse practitioner in Hilton Head, SC with 3 years of experience. MRS. Shannon Maria Keith NPI is 1083331763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

25 HOSPITAL CENTER BLVD
HILTON HEAD, SC
ZIP 29926-738
Phone: (843) 681-6122

The NPI 1083331763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2022 and was last updated on 9/12/2023.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363LA2100XNurse PractitionerAcute Care27405SOUTH CAROLINAYes

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

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