NPIMap

Individual provider Active NPI

Shannon M Atkinson, APRN

  • Acute Care Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1841369147
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3004280 Issued in KY
Practice address
484 Golden Autumn Way Ste 201
Bowling Green, KY 42103-6913
Phone
(270) 781-5111
Fax
(270) 780-0475
NPI assigned
Nov 8, 2006
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3004280 KY Primary
Nurse Practitioner 363L00000X 3004280 KY

Addresses

Primary practice location

484 Golden Autumn Way Ste 201
Bowling Green, KY 42103-6913

Mailing address

201 Park St
Bowling Green, KY 42101-1759
Phone (270) 781-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070501000299 KY Practitioner - Nurse Practitioner 3870699242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 782-0151

825 2ND Ave
Suite C1
Bowling Green, KY 42101-1791
Phone (270) 780-2690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3004280KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Commonwealth Health Corporation, Inc CurrentSince Aug 4, 2025 Accepting new patients
Uhs of Bowling Green LLC Nurse Practitioner CurrentSince Aug 19, 2025 Accepting new patients
Commonwealth Health Corporation, Inc Nurse Practitioner Current Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Nurse Practitioner CurrentSince Dec 22, 2025 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Acute Care CurrentSince Dec 22, 2025 Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

1035 Porter Pike
Bowling Green, KY 42103
Phone (270) 843-1199

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

2625 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 745-0942

350 Park St
Ste 100
Bowling Green, KY 42101
Phone (270) 467-1780

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

350 Park St
Ste 206
Bowling Green, KY 42101
Phone (270) 746-0440

421 US 31W Byp
Bowling Green, KY 42101
Phone (270) 782-7768

825 2nd Ave
Ste C1
Bowling Green, KY 42101
Phone (270) 780-2690

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1841369147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 GOLDEN AUTUMN WAY STE 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036913",
            "telephone_number": "270-781-5111",
            "fax_number": "270-780-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3004280",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.