Individual provider Active NPI

Shannon Danielle Robinson

  • Family Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1194310045
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4035082 Issued in KY
Practice address
50 Medpark Dr Ste 3
Somerset, KY 42503-4730
Phone
(606) 531-4100
Fax
(606) 220-2116
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4035082 KY Primary

Addresses

Primary practice location

50 Medpark Dr Ste 3
Somerset, KY 42503-4730

Mailing address

108 W Maple Ave Ste 1
London, KY 40741-1767
Phone (636) 577-5592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IN, 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
I20210413001850 AL Practitioner - Nurse Practitioner 8628486594 Reassigns benefits to 1 organization
I20230925000322 IN Practitioner - Nurse Practitioner 8628486594 Reassigns benefits to 1 organization
I20250529003629 KY Practitioner - Nurse Practitioner 8628486594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Kentucky Vascular Clinic PLLCGroup PAC ID 6901289628, 7 clinicians

Practice addresses (Care Compare)

50 Medpark Square Dr
Suite 3
Somerset, KY 42503-1708
Phone (606) 531-4100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health of Indiana PC CurrentSince Aug 6, 2023 Accepting new patients
Southern Kentucky Vascular Clinic PLLC Family CurrentSince May 5, 2025 Accepting new patients
Diabetes Management Partners LLC CurrentSince Apr 1, 2021 Accepting new patients
Diabetes Management Partners LLC CurrentSince Apr 1, 2021 Accepting new patients
Southern Kentucky Vascular Procedure Center, PLLC PastSince May 5, 2025 Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

7751 Belfort Pkwy
Ste 120
Jacksonville, FL 32256

4190 Belfort Rd
Ste 352
Jacksonville, FL 32216

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

3518 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0358

504 Tenikat St
Danville, KY 40422
Phone (859) 236-4442

201 Professional Park Dr
Glasgow, KY 42141
Phone (270) 392-3661

2645 N Laurel Rd
London, KY 40741
Phone (606) 877-4560

503 Spivey Ln
Ste 1
London, KY 40741

515 Memorial Dr
Ste 3
Manchester, KY 40962
Phone (606) 599-0169

169 Joe T Petty Dr
Russell Springs, KY 42642
Phone (270) 865-1002

50 Medpark Dr
Ste 3
Somerset, KY 42503

2157 S Highway 27
Stearns, KY 42647
Phone (606) 376-9700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEIHCD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1194310045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W MAPLE AVE STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411767",
            "telephone_number": "636-577-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDPARK DR STE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034730",
            "telephone_number": "606-531-4100",
            "fax_number": "606-220-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHANNON",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4035082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.