Active NPIIndividual provider

Shannon Reddy

Nurse Practitioner, Family in Haverhill, Massachusetts

NPI Number1790462265
Practice location
1 Park Way, Haverhill, MA 01830-6278
Fax
—
Last updated
June 28, 2023

Shannon Reddy is a Nurse Practitioner, Family based in Haverhill, MA. Shannon Reddy practices in Haverhill, MA. The NPI Number for Shannon Reddy is 1790462265 and holds a License No. 091043-23 (NH). The current practice location address for Shannon Reddy is 1 Park Way, Haverhill, MA 01830-6278 and can be reached out via phone at 888-227-3762.

Provider Profile Details

NPI Number
1790462265
Provider Name
Shannon Reddy
Provider Entity Type
Individual
Gender
Female
Address
1 Park Way, Haverhill, MA 01830-6278
Phone Number
888-227-3762
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2023
Last Update Date
June 28, 2023
Certification Date
June 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Park Way
Haverhill, MA 01830-6278
Zip
01830-6278
Phone Number
888-227-3762
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
149 Brendans Way
Wells, ME 04090-6367
City
Wells
State
ME
Zip
04090-6367

License Information

License Number (1)
091043-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
RN2326805
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon Reddy?

The NPI number of Shannon Reddy is 1790462265. It was assigned on June 28, 2023 and is currently active in the NPPES registry.

What is the specialty of Shannon Reddy?

Shannon Reddy is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NH under license number 091043-23.

Where does Shannon Reddy practice?

The practice location is 1 Park Way, Haverhill, MA 01830-6278. The office can be reached at 888-227-3762 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790462265 directly on the NPPES registry website.

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