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SHANNON LYNNETTE ENRICO
NPI 1104713619
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since June 18, 2025
5513 PRIM CT, SACRAMENTO, CA 95820(530) 913-5804 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Lynnette Enrico NPPES

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

SHANNON LYNNETTE ENRICO (NPI 1104713619) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1104713619
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON LYNNETTE ENRICO
Location Address5513 PRIM CTSacramento, CA 95820-5154
Mailing Address5513 Prim CtSacramento, CA 95820-5154
Phone(530) 913-5804
Sole ProprietorNo
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1104713619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5513 PRIM CT, Sacramento, CA 95820
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Other Names 1

Former Name (1)Shannon Lynnette Lee

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 Enrico's NPI number?

The NPI number for Shannon Enrico is 1104713619. It was assigned to this individual provider in the NPPES registry on June 18, 2025. The provider is also known as Shannon Lynnette Lee.

Where is Shannon Enrico located?

Shannon Enrico practices at 5513 Prim Ct, Sacramento, CA 95820. The listed phone number is (530) 913-5804.

What is Shannon Enrico's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Enrico was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.