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SHANNON CONRADY
NPI 1093516585
Counselor - Addiction (Substance Use Disorder) in Lakeland, FL

Active since March 21, 2025
4132 SHEARWATER ST, LAKELAND, FL 33811(863) 274-2399 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Conrady NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON CONRADY (NPI 1093516585) is an individual addiction (substance use disorder) provider in Lakeland, Florida, licensed in Florida (MCAP.0101209) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1093516585
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON CONRADY
Location Address4132 SHEARWATER STLakeland, FL 33811-2693
Mailing Address4132 Shearwater StLakeland, FL 33811-2693 · (863) 274-2399
Phone(863) 274-2399
Sole ProprietorYes
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1093516585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in FL · MCAP.0101209
4132 SHEARWATER ST, Lakeland, FL 33811
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Conrady's NPI number?

The NPI number for Shannon Conrady is 1093516585. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Shannon Conrady located?

Shannon Conrady practices at 4132 Shearwater St, Lakeland, FL 33811. The listed phone number is (863) 274-2399.

What is Shannon Conrady's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Conrady was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.