Active NPI
Shannon Leigh Dummer, DNP, FNP, CEN
- Family Nurse Practitioner
- Annapolis, MD
National Provider Identifier
1588359210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R246089
- Practice address
- 1352 Walnut Ave
Annapolis, MD 21403-4748 - Phone
- (443) 221-8716
- Fax
- (949) 437-8515
- NPI assigned
- Apr 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R246089 | MD | Primary |
Addresses
Primary practice location
1352 Walnut Ave
Annapolis, MD 21403-4748
Mailing address
1352 Walnut Ave
Annapolis, MD 21403-4748
Phone (443) 221-8716
Other names 1
- Shannon Leigh O'Connor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230918000351 | MD | Practitioner - Nurse Practitioner | 5597129072 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R246089 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1588359210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1352 WALNUT AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214034748",
"telephone_number": "443-221-8716",
"fax_number": "949-437-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1352 WALNUT AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214034748",
"telephone_number": "443-221-8716",
"fax_number": "949-437-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMMER",
"first_name": "SHANNON",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DNP, FNP, CEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R246089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "O'CONNOR",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.