Individual provider Active NPI

Shannon Holcombe, PMHNP, LCSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1952027237
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
408312 Issued in NY
Practice address
224 Alexander St
Rochester, NY 14607-4000
Phone
(585) 922-7770
Fax
(585) 922-7020
NPI assigned
Oct 18, 2022
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 408312 NY Primary
Clinical Social Worker 1041C0700X 094108 NY

Addresses

Primary practice location

224 Alexander St
Rochester, NY 14607-4000

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

71 Poplar St
Rochester, NY 14620-2231
Phone (585) 721-0040

Other practice location 2

81 Lake Ave
Rochester, NY 14608-1410
Phone (585) 368-6900

Other practice location 3

1381 E Ridge Rd Ste 5
Rochester, NY 14621-2019
Phone (585) 922-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sholcombe450770@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
094108NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1952027237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ALEXANDER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074000",
            "telephone_number": "585-922-7770",
            "fax_number": "585-922-7020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202231",
            "country_code": "US",
            "telephone_number": "585-721-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146081410",
            "country_code": "US",
            "telephone_number": "585-368-6900",
            "fax_number": "585-368-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1381 E Ridge Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212019",
            "country_code": "US",
            "telephone_number": "585-922-2500",
            "fax_number": "585-922-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLCOMBE",
        "first_name": "SHANNON",
        "credential": "PMHNP, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408312",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sholcombe450770@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "224 Alexander St",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146074000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.