Shannon Green McCormick, APRN, CFCP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

204160 Issued in LA

Practice address

4612 S. Claiborne Ave.
New Orleans, LA 70125

Phone

(504) 496-0212

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Morning Star Rising, Inc.

  dba Woman's New Life Clinic

  • Women's Health Nurse Practitioner
  • New Orleans, LA
  • NPI 1295114031
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1295281806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 S CLAIBORNE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701255010",
            "telephone_number": "504-496-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 S. CLAIBORNE AVE.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70125",
            "telephone_number": "504-496-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066512",
            "country_code": "US",
            "telephone_number": "225-663-6470",
            "fax_number": "225-663-6472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "SHANNON",
        "middle_name": "GREEN",
        "credential": "APRN, CFCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "LA",
            "license": "71607",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "204160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERS FOR MEDICARE AND MEDICAID SERVICES IDENTITY & ACCESS (I&A) SYSTEM",
            "identifier": "1295281806",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Patricia McCormack-Ince, MD
• Isabella McCormack
• Ali McCormick, DO
• Kayla McCormick
• Mary McCormick, MD
• Edward David McCoul, M.D.
• Jerome McCoy
• Molly E McCoy, DO
• Melanie McCrary, RN
• Erny McCray, LPC

• Women's Health Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Women's Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.