Individual provider Active NPI

Shannon Elizabeth Zaffino, CNP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1972005874
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
67625 Issued in NM
Practice address
8300 Constitution Ave NE BLDG D
Endocrinology
Albuquerque, NM 87110-7613
Phone
(505) 559-6400
Fax
(505) 559-6488
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 8E886C5C TX
Adult Health Nurse Practitioner 363LA2200X AP61052215 WA
Adult Health Nurse Practitioner 363LA2200X 201807632NP-PP OR
Nurse Practitioner 363L00000X 67625 NM Primary

Addresses

Primary practice location

8300 Constitution Ave NE BLDG D
Endocrinology
Albuquerque, NM 87110-7613

Mailing address

1502 NE Moon Ridge Rd
Washougal, WA 98671-9560
Phone (832) 314-0082

Other identifiers 1

IdentifierTypeStateIssuer
07756887MedicaidNM

Other names 1

  • Shannon Elizabeth Weldon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230218000355 NM Practitioner - Nurse Practitioner 9234567595 Reassigns benefits to 5 organizations
I20240610002950 TX Practitioner - Nurse Practitioner 9234567595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

8300 Constitution Ave NE
BLDG D
Albuquerque, NM 87110-7613
Phone (505) 291-2200

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8E886C5CTXMDMedical-Surgical Registered Nurse
67625NMMDNurse Practitioner
201807632NP-PPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Apr 23, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince May 5, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince May 5, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince May 5, 2024 Accepting new patients
United Wound Healing Accountable Care Consultants PLLC Adult Health CurrentSince Apr 1, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Apr 23, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince May 5, 2024 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646

Interoperability endpoints

  • Direct secure messaging: szaffino249770@direct.phs.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1972005874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 NE MOON RIDGE RD",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986719560",
            "telephone_number": "832-314-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CONSTITUTION AVE NE BLDG D",
            "address_2": "ENDOCRINOLOGY",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107613",
            "telephone_number": "505-559-6400",
            "fax_number": "505-559-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFFINO",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "8E886C5C",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61052215",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201807632NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "67625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07756887",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WELDON",
            "middle_name": "ELIZABETH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.