MR. SHANNON PATRICK JOHNSON IDC
NPI 1164635520
Military Health Care Provider - Independent Duty Corpsman in Norfolk, VA

Q: What is Shannon Johnson's NPI number?

The NPI number for Shannon Johnson is 1164635520. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Q: What is Shannon Johnson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since May 08, 2007

1004 HERMITAGE RD, BLDG 2052, NORFOLK, VA 23521(757) 462-3178 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Shannon Patrick Johnson Idc NPPES

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

MR. SHANNON PATRICK JOHNSON IDC (NPI 1164635520) is an individual independent duty corpsman provider in Norfolk, Virginia and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1164635520

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. SHANNON PATRICK JOHNSONCredential: IDC

Location Address1004 HERMITAGE RD, BLDG 2052Norfolk, VA 23521-5000

Mailing Address1096 Valencia CtVirginia Beach, VA 23454-6789 · (757) 301-8921

Phone(757) 462-3178

Sole ProprietorNo

Enumeration DateMay 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164635520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

1004 HERMITAGE RD, Norfolk, VA 23521

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

GLENN HUNSINGER

Military Health Care Provider (Independent Duty Corpsman)

1004 HERMITAGE RD
NORFOLK, VA 23521

Norfolk City (757) 462-3210

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 Johnson's NPI number?

The NPI number for Shannon Johnson is 1164635520. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Shannon Johnson located?

Shannon Johnson practices at 1004 Hermitage Rd Bldg 2052, Norfolk, VA 23521. The listed phone number is (757) 462-3178.

What is Shannon Johnson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Shannon Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.