Shannon Gorrell, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1011714 Issued in DC

Practice address

220 L St NE
Washington, DC 20002-3461

Phone

(202) 544-7580

NPI assigned

Apr 3, 2015

Last updated

Apr 3, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1811382146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 L ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023461",
            "telephone_number": "202-544-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 L ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023461",
            "telephone_number": "202-544-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL",
        "first_name": "SHANNON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "1011714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joleah Stiles Gorman, LICSW
• Kameo Lyn Gorman
• Alexandra Smith Gormley, PT, DPT
• Alexander Gorodetsky, M.A., LPC
• Michelle R Gorra, MD
• Tristan L. Gorrindo, MD
• Bethany Grace Gorter
• Erika V Gosai, MD
• Alexandra Noel Gosh, MD, MBA
• Goshen Care Services

• Family Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Family Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.