Shannon Harris, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP133050 Issued in TX

Practice address

1602 Rock Prairie Rd Ste 1100
College Station, TX 77845-0001

Phone

(979) 696-4440

NPI assigned

Oct 23, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1447726898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 LANDSBURG LN",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778453902",
            "telephone_number": "979-676-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD STE 1100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778450001",
            "telephone_number": "979-696-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHANNON",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP133050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent JD Harpin, ATC
• Amy L. Harrell, M.D.
• Staci Urbanosky Harrington, FNP-C
• Ashley Lamb Harris, MA, CRC, LPC
• Jennifer Lynn Harris, NP
• Danica Harrison, RN
• Elizabeth Arnell Harrison, FNP-BC
• Richard Paul Harrison
• Rajesh Insham Harrykissoon, MD
• Jeffrey Tate Hartley, DPT, CSCS

• Pediatric Nurse Practitioner in College Station, TX
• Providers in College Station, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.