Individual provider Active NPI

Shannon Lynn Lee, CRNP

  • Nurse Practitioner
  • Hartselle, AL
National Provider Identifier
1568851491
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1123593 Issued in AL
Practice address
1549 Highway 31 NW
Hartselle, AL 35640-4431
Phone
(256) 735-5920
Fax
(256) 678-7710
NPI assigned
Jan 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1123593 AL Primary

Addresses

Primary practice location

1549 Highway 31 NW
Hartselle, AL 35640-4431

Mailing address

PO Box 2895
Cullman, AL 35056-2895
Phone (256) 735-5920

Other practice location 1

1958 Al Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20150401000795 AL Practitioner - Nurse Practitioner 2668799644 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRMC Medical Group LLCGroup PAC ID 8729419874, 81 clinicians

Practice addresses (Care Compare)

1549 Hwy 31 NW
Hartselle, AL 35640-4431
Phone (256) 735-5920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1123593ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartselle Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Emergency Physicians Group CurrentSince Jan 6, 2018 Accepting new patients
CRMC Medical Group LLC Current Accepting new patients
CRMC Medical Group LLC CurrentSince Sep 15, 2022 Accepting new patients
Premier Allergist of Florida LLC Past Accepting new patients

Locations

1930 AL Highway 157
Cullman, AL 35058
Phone (256) 734-7850

1958 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2090

1705 Main Ave SW
Ste B
Cullman, AL 35055
Phone (256) 735-5075

615 Mynatt St SW
Ste E
Hartselle, AL 35640
Phone (256) 773-2979

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1568851491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2895",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350562895",
            "telephone_number": "256-735-5920",
            "fax_number": "256-678-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404431",
            "telephone_number": "256-735-5920",
            "fax_number": "256-678-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1958 Al Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580609",
            "country_code": "US",
            "telephone_number": "256-737-2090",
            "fax_number": "256-737-2091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1123593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

Verify at the official NPI Registry.