Individual provider Active NPI

Shannon Brennan, CCHW

  • Community Health Worker
  • Westerly, RI
National Provider Identifier
1295628444
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
11 Wells St
Westerly, RI 02891-2959
Phone
(401) 539-2461
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

11 Wells St
Westerly, RI 02891-2959

Mailing address

823 Main St
Hope Valley, RI 02832-1920

Other practice location 1

823 Main St
Hope Valley, RI 02832-1920
Phone (401) 539-2461 ext. 250

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

Interoperability endpoints

  • Direct secure messaging: shannon.brennan.p1@direct.wrhsrhodeisland.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1295628444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912959",
            "telephone_number": "401-539-2461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Main St",
            "address_purpose": "LOCATION",
            "city": "Hope Valley",
            "state": "RI",
            "postal_code": "028321920",
            "country_code": "US",
            "telephone_number": "401-539-2461 x250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "SHANNON",
        "credential": "CCHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.