Shannon Anne Connelly

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

222324 Issued in NC

Practice address

721 Holly Springs Rd
Holly Springs, NC 27540-9033

Phone

(910) 916-8180

NPI assigned

Jul 31, 2026

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Made to Mother Lactation, PLLC

  dba Wonderfully Made Women's Health

  • Physician Assistant
  • Holly Springs, NC
  • NPI 1982490751
  NPD (past)

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1780507475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SUDANO CT",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407926",
            "telephone_number": "646-354-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 HOLLY SPRINGS RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409033",
            "telephone_number": "910-916-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "SHANNON",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "222324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Vail Collins, OTR/L
• Renee Collum, APRN, FNP-C
• Jon Gary Comden II, RPH
• Community Innovations Inc
• Community Innovations Inc 63
• Terrell Connelly
• Judson Cook, LCMHC
• Tracey Caroline Cook, PHARMD, MSCR
• Casey Copp, CPNP
• Stephanie Copper

• Lactation Consultant (Registered Nurse) in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Lactation Consultant (Registered Nurse) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.