Shannon Lee Elliott, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L41867 Issued in AR

Practice address

4107 Richards Rd
North Little Rock, AR 72117-2653

Phone

(501) 955-2220

Fax

(501) 955-5531

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ascent Acquisitions Corp-PSC

  • Speech-Language Pathologist
  • North Little Rock, AR
  • NPI 1336271659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073653804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WEDGEWOOD DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233961",
            "telephone_number": "501-650-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 RICHARDS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172653",
            "telephone_number": "501-955-2220",
            "fax_number": "501-955-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L41867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Elfituri
• Richard Gregory Elimon, DMD
• Darrell Eliott
• Elite Mobile Health Services, LLC
• Sara Eller, PT
• Thaiza Ellis-Vorabouth
• April Lawson Ellis, FNP
• Eboni Ellis, MHPP
• Katherine Leigh Ellis, MSPT
• Kevin Ellis

• Licensed Practical Nurse in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.