MRS. MELISSA CHASE SHANNON NP NPI 1861786519

NPI Information

NPI: 1861786519
Provider Name: MRS. MELISSA CHASE SHANNON, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
210 S CAMERON ST
HILLSBOROUGH, NC
ZIP 27278
Phone: (919) 732-9311
Get Directions

MRS. Melissa Chase Shannon, NP is a family nurse practitioner in Hillsborough, NC. MRS. Melissa Chase Shannon, NP NPI is 1861786519. 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:

210 S CAMERON ST
HILLSBOROUGH, NC
ZIP 27278-505
Phone: (919) 732-9311

The NPI 1861786519 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 5/29/2011 and was last updated on 5/22/2013.

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	363LF0000X	Nurse Practitioner	Family	87166	SOUTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	02-647371	CONNECTICUT	No
3	363LF0000X	Nurse Practitioner	Family	101-0021041	VERMONT	No
4	363LF0000X	Nurse Practitioner	Family	052782	MASSACHUSETTS	No
5	363LF0000X	Nurse Practitioner	Family	241346	NORTH CAROLINA	Yes

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
1	05319758	OTHER	VERMONT	BLUE SHIELD
2	NP0290	MEDICARE PIN	VERMONT
3	NPP000	MEDICARE UPIN	VERMONT
4	ONP0290	MEDICAID	VERMONT

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: 5/5/2024

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.

« Previous NPI

Next NPI »