RYAN SHANNON NP NPI 1194322271

NPI Information

NPI: 1194322271
Provider Name: RYAN SHANNON, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1722 PINE ST STE 700
MONTGOMERY, AL
ZIP 36106
Phone: (334) 834-1300
Get Directions

Ryan Shannon, NP is a gerontology nurse practitioner in Montgomery, AL with 4 years of experience. Ryan Shannon, NP NPI is 1194322271. 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:

1722 PINE ST STE 700
MONTGOMERY, AL
ZIP 36106-125
Phone: (334) 834-1300
Fax: (334) 834-8347

The NPI 1194322271 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 10/2/2020 and was last updated on 10/2/2020.

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
1	363LA2200X	Nurse Practitioner	Adult Health	1-159336	ALABAMA	No
2	363LG0600X	Nurse Practitioner	Gerontology	1-159336	ALABAMA	Yes
3	363LP2300X	Nurse Practitioner	Primary Care	1-159336	ALABAMA	No

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: 4/28/2024

NPI Synchronization or Removal

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