Individual provider Active NPI

Shannon Susan Hill, NP

  • Women's Health Nurse Practitioner
  • Seymour Johnson AFB, NC
National Provider Identifier
1255319232
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R156807 Issued in MD
Practice address
1050 Jabarrah Ave
4TH Medical Group
Seymour Johnson a F B, NC 27531-2310
Phone
(919) 722-1557
NPI assigned
Jan 9, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R156807 MD Primary

Addresses

Primary practice location

1050 Jabarrah Ave
4TH Medical Group
Seymour Johnson a F B, NC 27531-2310

Mailing address

800 E Stanley St
Four Oaks, NC 27524-7992
Phone (919) 963-9134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R156807MDMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1255319232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E STANLEY ST",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275247992",
            "telephone_number": "919-963-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 JABARRAH AVE",
            "address_2": "4TH MEDICAL GROUP",
            "city": "SEYMOUR JOHNSON A F B",
            "state": "NC",
            "postal_code": "275312310",
            "telephone_number": "919-722-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHANNON",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R156807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour Johnson AFB, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.