Shannon Kay Southwick, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN002097 Issued in NV

Practice address

9280 W Sunset Rd Ste 100
Las Vegas, NV 89148-4861

Phone

(702) 952-1251

Fax

(702) 952-1242

NPI assigned

Aug 21, 2015

Last updated

Mar 21, 2024By 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

Other names 1

• Shannon Wright Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Allison Curtis Kingsley Meoz Michael and Sanchez PCGroup PAC ID 1254224280, 72 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
• Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.southwick@cccn.ikm.direct-ci.com

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.

• Allison Curtis Kingsley Meoz Michael & Sanchez PC

  dba Comprehensive Cancer Centers of Nevada

  • Hematology & Oncology Physician
  • Las Vegas, NV
  • NPI 1598770471

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD

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

• Southern Hills Medical Center, LLC

  dba Southern Hills Hospital & Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1457306359
  Care Compare affiliation
• Sunrise Hospital and Medical Center, LLC

  dba Sunrise Hospital and Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1851768105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146692",
            "telephone_number": "702-952-3350",
            "fax_number": "702-952-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484861",
            "telephone_number": "702-952-1251",
            "fax_number": "702-952-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWICK",
        "first_name": "SHANNON",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WRIGHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Southwest Specialty Pharmacy LLC (Southwest Specialty Pharmacy)
• Southwest Vision Center
• Southwest Wound Management LLC (Southwest Wound Management)
• Southwestern Health Solution LLC
• Haley K Southwick
• Amanda Southworth
• Stephany Souza Ribeiro
• Abigail Christine Souza, FNP-C
• Andrea Souza
• April Souza

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.