SHANNON CRYSTAL PREVOST
NPI 1205590635
Nurse Practitioner in Fredericksburg, VA

Q: What is Shannon Prevost's NPI number?

The NPI number for Shannon Prevost is 1205590635. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Q: What is Shannon Prevost's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Prevost was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 21, 2021

11008 NEW MARKET CT, FREDERICKSBURG, VA 22407(443) 875-4058 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Crystal Prevost NPPES

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

SHANNON CRYSTAL PREVOST (NPI 1205590635) is an individual nurse practitioner in Fredericksburg, Virginia, licensed in Virginia (0024181386) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1205590635

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON CRYSTAL PREVOST

Location Address11008 NEW MARKET CTFredericksburg, VA 22407-2529

Mailing Address11008 New Market CtFredericksburg, VA 22407-2529 · (443) 875-4058

Phone(443) 875-4058

Sole ProprietorNo

Enumeration DateOctober 21, 2021

NPPES CertifiedOctober 21, 2021

✔ NPI 1205590635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 0024181386

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11008 NEW MARKET CT, Fredericksburg, VA 22407

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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 Prevost's NPI number?

The NPI number for Shannon Prevost is 1205590635. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Shannon Prevost located?

Shannon Prevost practices at 11008 New Market Ct, Fredericksburg, VA 22407. The listed phone number is (443) 875-4058.

What is Shannon Prevost's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Shannon Prevost was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.