Active NPI
Shannon Renee Parkinson, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Lake City, FL
National Provider Identifier
1417530585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11011752
- Practice address
- 751 SE Sycamore Ter
Lake City, FL 32025-6216 - Phone
- (386) 758-0600
- NPI assigned
- May 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11011752 | FL | Primary |
Addresses
Primary practice location
751 SE Sycamore Ter
Lake City, FL 32025-6216
Mailing address
21352 NE 65TH St
Williston, FL 32696-5707
Phone (352) 361-8229
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011752 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1417530585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21352 NE 65TH ST",
"city": "WILLISTON",
"state": "FL",
"postal_code": "326965707",
"telephone_number": "352-361-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 SE SYCAMORE TER",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256216",
"telephone_number": "386-758-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKINSON",
"first_name": "SHANNON",
"middle_name": "RENEE",
"name_prefix": "Miss",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11011752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.