SHANNON ROSE WEBER ARNP NPI 1659766244

NPI Information

  • NPI: 1659766244
  • Provider Name: SHANNON ROSE WEBER, ARNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18550 US HIGHWAY 441 STE A
    MOUNT DORA, FL
    ZIP 32757
  • Phone: (352) 735-3755

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NPI Details

Shannon Rose Weber, ARNP is a gerontology nurse practitioner in Mount Dora, FL. Shannon Rose Weber, ARNP NPI is 1659766244. 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:

18550 US HIGHWAY 441 STE A
MOUNT DORA, FL
ZIP 32757-751
Phone: (352) 735-3755
Fax: (352) 735-3151

The NPI 1659766244 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 4/1/2015 and was last updated on 2/10/2018.

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
1363LG0600XNurse PractitionerGerontologyARNP3360292FLORIDAYes
2363L00000XNurse PractitionerARNP3360292FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021028900MEDICAIDFLORIDA

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: 11/21/2025

NPI Synchronization or Removal

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