Active NPI
Shannon Rose Nelson, APRN
- Family Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1659177376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11034493
- Practice address
- 22524 Middletown Dr
Boca Raton, FL 33428-4709 - Phone
- (561) 305-6126
- NPI assigned
- Feb 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11034493 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN11034493 | FL | |
| Community Health Nurse Practitioner | 363LC1500X | APRN11034493 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11034493 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11034493 | FL | |
| Women's Health Nurse Practitioner | 363LW0102X | APRN11034493 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11034493 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11034493 | FL | Primary |
Addresses
Primary practice location
22524 Middletown Dr
Boca Raton, FL 33428-4709
Mailing address
22524 Middletown Dr
Boca Raton, FL 33428-4709
Phone (561) 305-6126
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 |
|---|---|---|---|
| APRN11034493 | FL | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- shannon.nelson@809235966787588.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740182400000",
"number": "1659177376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22524 MIDDLETOWN DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284709",
"telephone_number": "561-305-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22524 MIDDLETOWN DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284709",
"telephone_number": "561-305-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SHANNON",
"middle_name": "ROSE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-22",
"last_updated": "2025-02-22",
"certification_date": "2025-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11034493",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11034493",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "FL",
"license": "APRN11034493",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11034493",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11034493",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "APRN11034493",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11034493",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11034493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.