Shannon Leigh Glennon

Primary specialty

Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X

License

RN777429 Issued in PA

Practice address

1155 East Mountain Blvd
Wilkes-Barre, PA 18702

Phone

(570) 809-7916

NPI assigned

Dec 2, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1235091877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 W HARTFORD ST",
            "city": "ASHLEY",
            "state": "PA",
            "postal_code": "187061608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 EAST MOUNTAIN BLVD",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-809-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENNON",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "PA",
            "license": "RN777429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A. Gindi, MD
• Armand Michael Giroux, RN
• Joseph Giunta, A.T.C.
• Donna M Giza
• Eric Daniel Glass Jr., PA-C
• Robert L. Glicini, M.D.
• Lauren Glowacki, PA
• Sydney Lee Gnall, PA-C
• Katherine Godfrey
• Corey Todd Goldberg, MD

• Ambulatory Women's Health Care Registered Nurse in Wilkes-Barre, PA
• Providers in Wilkes-Barre, PA by specialty
• Ambulatory Women's Health Care Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.