Active NPI
Barbara J Shannon
- Specialist
- Dix Hills, NY
National Provider Identifier
1487337531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 582641941
- Practice address
- 28 Landview Dr
Dix Hills, NY 11746-5844 - Phone
- (631) 741-7542
- NPI assigned
- Aug 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 083304 | NY | |
| Specialist | 174400000X | 582641941 | NY | Primary |
Addresses
Primary practice location
28 Landview Dr
Dix Hills, NY 11746-5844
Mailing address
28 Landview Dr
Dix Hills, NY 11746-5844
Phone (631) 741-7542
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083304 | NY | MD | Social Worker |
| 582641941 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1487337531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 LANDVIEW DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465844",
"telephone_number": "631-741-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 LANDVIEW DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465844",
"telephone_number": "631-741-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "BARBARA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "083304",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "582641941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.