Shannon Lee Duclos, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0476212303 Issued in NH

Practice address

188 Route 101
Bedford, NH 03110-5420

Phone

(603) 314-4700

Fax

(603) 314-4711

NPI assigned

Sep 6, 2006

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

Enrolled in NH

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sduclos7037@direct.solutionhealth.org

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.

• Elliot Physicians Network

  • Family Medicine Physician
  • Manchester, NH
  • NPI 1831191659
  Medicare reassignment NPD
• Elliot Physicians Network

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1962493940
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1326141565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 LEAVITT RD",
            "city": "PITTSFIELD",
            "state": "NH",
            "postal_code": "032633213",
            "telephone_number": "603-759-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ROUTE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105420",
            "telephone_number": "603-314-4700",
            "fax_number": "603-314-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLOS",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "0476212303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Cheryl Drown, COTAL
• Thomas Dube, PT
• Amanda Lynn Dubois
• Henry Dubois, P.T.
• Kimberly M Dubois, PT
• Valerie Dudley
• Jacquelyn Topper Duford, LCMHC
• Lynne Dugan, APRN
• Sam Dugan, MD
• Caitlin Marie Duggar, APRN

• Family Nurse Practitioner in Bedford, NH
• Providers in Bedford, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.