Individual provider Active NPI

Shannon Marie Hamilton, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1104282623
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33071 Issued in TN
Practice address
312 S 4TH St Ste 700
Louisville, KY 40202-3046
Phone
(502) 804-5495
Fax
(833) 563-1715
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN3259502 FL
Family Nurse Practitioner 363LF0000X ARNP3259502 FL
Family Health Clinical Nurse Specialist 364SF0001X ARNP3259502 FL
Family Nurse Practitioner 363LF0000X 33071 TN Primary

Addresses

Primary practice location

312 S 4TH St Ste 700
Louisville, KY 40202-3046

Mailing address

312 S 4TH St Ste 700
Louisville, KY 40202-3046
Phone (502) 804-5495

Other identifiers 1

IdentifierTypeStateIssuer
102975500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon.hamilton.1@25953.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160201001062 FL Practitioner - Nurse Practitioner 1254635972 Reassigns benefits to 1 organization
I20230331001817 TN Practitioner - Nurse Practitioner 1254635972 Reassigns benefits to 1 organization
I20251229001112 KY Practitioner - Nurse Practitioner 1254635972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Signal Health IncGroup PAC ID 9234436957, 27 clinicians

Practice addresses (Care Compare)

312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (502) 804-5495

Hospital & facility affiliations

  • Ascension Health at Home of Florida 1 LLC Home health agency, Jacksonville, FL, CCN 683147
  • Amedisys Home Health Home health agency, Bangor, ME, CCN 207075
  • Ascension at Home Home health agency, Pensacola, FL, CCN 687177
  • Ascension at Home Home health agency, Lynn Haven, FL, CCN 687314
  • Amedisys Home Health Home health agency, Portland, ME, CCN 207073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN3259502FLMDNurse Practitioner
ARNP3259502FLMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Family Practice LLC CurrentSince Aug 16, 2023 Accepting new patients
Vitae Health Medical Florida PLLC CurrentSince Mar 1, 2021 Accepting new patients
Signal Health Inc. CurrentSince Oct 1, 2023 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

13740 Office Park Ct
Ste B
Hudson, FL 34667
Phone (727) 861-0237

4927 Voorhees Rd
New Prt Rchy, FL 34653
Phone (727) 484-3326

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

1240 Pinebrook Rd
Venice, FL 34285
Phone (941) 488-6733

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

10168 Linn Station Rd
Ste 220
Louisville, KY 40223

209 10th Ave S
Ste 560
Nashville, TN 37203
Phone (502) 804-5495

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25953/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shannon.hamilton.1@25953.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1104282623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S 4TH ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023046",
            "telephone_number": "502-804-5495",
            "fax_number": "833-563-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S 4TH ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023046",
            "telephone_number": "502-804-5495",
            "fax_number": "833-563-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN3259502",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3259502",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "FL",
            "license": "ARNP3259502",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102975500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.hamilton.1@25953.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "athena",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "312 S 4th St Ste 700",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.