Shannon McNamara, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61542462 Issued in WA

Practice address

2029 Century Park E Ste 400
Los Angeles, CA 90067-2905

Phone

(602) 345-0620

NPI assigned

Feb 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1861257495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606986",
            "telephone_number": "602-345-0620",
            "fax_number": "602-354-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 CENTURY PARK E STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672905",
            "telephone_number": "602-345-0620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3216 NE 45th Pl",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054093",
            "country_code": "US",
            "telephone_number": "602-345-0620",
            "fax_number": "602-354-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9393 W 110th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662101464",
            "country_code": "US",
            "telephone_number": "602-345-0620",
            "fax_number": "602-354-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10880 Wilshire Blvd Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900244112",
            "country_code": "US",
            "telephone_number": "602-345-0620",
            "fax_number": "602-354-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9375 E Shea Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606986",
            "country_code": "US",
            "telephone_number": "623-282-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "SHANNON",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "306548",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "5383039071",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95029706",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61542462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian McNally, CMT
• Kimberly Alison Kopp McNally
• Brian McNamara
• Griffin McNamara, MD
• Rilind McNamara
• Tierney Maureen Diane McNamara, LCSW
• Summer McNeal Beacher
• Chanell McNeal
• Michael McNeal
• Olivia R McNeal

• Psychiatric/Mental Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.