Shannon Marie Johnson, MSN, NP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

213841 Issued in MA

Practice address

1400 VFW Pkwy
West Roxbury Vamc
West Roxbury, MA 02132

Phone

(617) 323-7700

NPI assigned

Jan 3, 2007

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

Other names 1

• Shannon Marie Arehart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1538226873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WINTHROP PL",
            "address_2": "APT #1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021693000",
            "telephone_number": "617-770-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "address_2": "WEST ROXBURY VAMC",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "617-323-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "213841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "AREHART",
            "middle_name": "MARIE",
            "credential": "MSN, NP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Renee Gleason Jennings, P.T., DPT, NCS
• Jess Butler Acupuncture
• Kimberly Jeune
• Ji Eye Care LLC
• JL Dental Associates, LLC
• Tova Johnson, DO
• Diva Lucille Jones
• Kimball Jones, RPH
• Linda Jones, RN
• Andrea Lynn Jorgensen-Perry, IBCLC

• Adult Health Nurse Practitioner in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.