Shannan Souza Aprn LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHANNAN SOUZA APRN LLC

Practice address

5150A Sr 247
Pottsville, AR 72858-6002

Phone

(479) 567-5680

Fax

(479) 567-5679

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Shannan Souza, APRN-CNPNPI 1831740125

Title

Owner

Phone

(479) 495-0821

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: shannan.souza.1@24853.direct.athenahealth.com

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannan Deann Souza, APRN

  • Family Nurse Practitioner
  • Pottsville, AR
  • NPI 1831740125

  AR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1992421622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150A SR 247",
            "city": "POTTSVILLE",
            "state": "AR",
            "postal_code": "728586002",
            "telephone_number": "479-567-5680",
            "fax_number": "479-567-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150A SR 247",
            "city": "POTTSVILLE",
            "state": "AR",
            "postal_code": "728586002",
            "telephone_number": "479-567-5680",
            "fax_number": "479-567-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNAN SOUZA APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "SHANNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-495-0821",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannan.souza.1@24853.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5150B SR 247",
            "city": "Pottsville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "728586002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannan.souza.1@24853.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5150B SR 247",
            "city": "Pottsville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "728586002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pottsville Schools
• Cassandra Richard, SLP
• Patricia Ann Ricketts
• Russell B Allison
• Russell B Allison MD PA
• Aspen Campbell Smith, OTD/OTR/L
• Julie Ann Smith
• Souza-Townsend Family Medical Clinic, PA
• Shannan Deann Souza, APRN
• Rachel Stumbaugh, LPC

• All providers in Pottsville, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.