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SHANNON MICHELLE LEE
NPI 1114559069
Student in an Organized Health Care Education/Training Program in East Stroudsburg, PA

Active since February 09, 2020
200 PROSPECT ST, EAST STROUDSBURG, PA 18301(215) 622-0594 Get Directions Write a Review

NPPES record last updated: February 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Michelle Lee NPPES

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

SHANNON MICHELLE LEE (NPI 1114559069) is an individual student in an organized health care education/training program in East Stroudsburg, Pennsylvania and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1114559069
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON MICHELLE LEE
Location Address200 PROSPECT STEast Stroudsburg, PA 18301-2956
Mailing Address225 Montgomery AveSouderton, PA 18964-1504 · (215) 622-0594
Phone(215) 622-0594
Sole ProprietorYes
Enumeration DateFebruary 9, 2020
✔ NPI 1114559069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
200 PROSPECT ST, East Stroudsburg, PA 18301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERARD D. ROZEA PHD
Specialist/Technologist (Athletic Trainer)
200 PROSPECT ST, 3 KOHLER FIELDHOUSE UNIVERSITY
EAST STROUDSBURG, PA 18301
Monroe County (570) 422-3065
MISS COLLEEN AARON SHOTWELL MS, ATC
Specialist/Technologist (Athletic Trainer)
200 PROSPECT ST, KOEHLER FIELDHOUSE
EAST STROUDSBURG, PA 18301
Monroe County (570) 422-3165
MRS. KELLY ANN HARRISON A.T.C.
Specialist/Technologist (Athletic Trainer)
200 PROSPECT ST, EAST STROUDSBURG UNIVERSITY
EAST STROUDSBURG, PA 18301
Monroe County (570) 422-3029
RACHAEL ELISE WADDLE ATC
Specialist/Technologist (Athletic Trainer)
200 PROSPECT ST
EAST STROUDSBURG, PA 18301
Monroe County (570) 422-3165
CATHERINE V LAUR ATC,EMT-B,PES
Specialist/Technologist (Athletic Trainer)
200 PROSPECT ST, EAST STROUDSBURG UNIVERSITY- KOEHLER FIELDHOUSE
EAST STROUDSBURG, PA 18301
Monroe County (570) 422-3231
CHRISTOPHER B PARKER ATC, EMT-B
Specialist/Technologist (Athletic Trainer)
200 PROSPECT ST, EAST STROUDSBURG UNIVERSITY
EAST STROUDSBURG, PA 18301
Monroe County (724) 601-4699
JILLIAN MARIE SEAMON A.T.C.
Specialist/Technologist (Athletic Trainer)
200 PROSPECT ST, KOEHLER FIELD HOUSE
EAST STROUDSBURG, PA 18301
Monroe County (570) 579-8230
ASHLEY NICOLE WINKELSPECHT ATC
Specialist/Technologist (Athletic Trainer)
200 PROSPECT ST, EAST STROUDSBURG UNIVERSITY
EAST STROUDSBURG, PA 18301
Monroe County (856) 207-0809

Frequently Asked Questions

What is Shannon Lee's NPI number?

The NPI number assigned to this healthcare provider is 1114559069, enumerated as an "individual" on February 09, 2020.

Where is the provider located?

The provider is located at 200 PROSPECT ST EAST STROUDSBURG, PA 18301 and the phone number is (215) 622-0594.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.