Shannon Rae Hill, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011628 Issued in NC

Practice address

2415 W Vernon Ave
Kinston, NC 28504-3337

Phone

(252) 208-4000

Fax

(252) 208-4045

NPI assigned

Mar 28, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Caswell Developmental Center

  • Intellectual Disabilities Intermediate Care Facility
  • Kinston, NC
  • NPI 1457578213
  NPD (past)
• Theoria Medical

  dba Theoria Primary Care

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1821559261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 REMINGTON WAY",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285516757",
            "telephone_number": "252-526-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043337",
            "telephone_number": "252-208-4000",
            "fax_number": "252-208-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHANNON",
        "middle_name": "RAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BON",
            "identifier": "5011628",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hey Gurl Hair Company LLC.
• Jennifer Ann Higgins, LCSW
• Alyssa Dawn Hill
• Christine M Hill, CPO
• Miranda Grady Hill, PHARMD
• Linda Hilliard, LCAS-A
• Hills Dda Group Home
• Hills Dda Group Home Inc
• Sharon Marie Hinnant Cox, LPCA
• His Covenant Care Home, Inc

• Family Nurse Practitioner in Kinston, NC
• Providers in Kinston, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.

Verify at the official NPI Registry.