Shannon Lynnette Enrico

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5513 Prim CT
Sacramento, CA 95820-5154

Phone

(530) 913-5804

NPI assigned

Jun 18, 2025

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

Other names 1

• Shannon Lynnette Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1104713619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 PRIM CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 PRIM CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205154",
            "telephone_number": "530-913-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRICO",
        "first_name": "SHANNON",
        "middle_name": "LYNNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "LEE",
            "middle_name": "LYNNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaina Enos - Vanthong
• Amber Christine Enos-Williams
• Laura Enos, M.S., CCC-SLP
• Lucas Randolph Enos, RN
• Megan Lynne Enos
• Rita L. Enright, NURSE PRACTITIONER
• Juan Enrique
• Brenda Enriquez
• Channon Enriquez
• Daisy Enriquez

• Student in an Organized Health Care Education/Training Program in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.