SHANNON F ANZIVINO NP
NPI 1235314840
Nurse Practitioner - Family in Memphis, TN

Active since January 02, 2008
877 JEFFERSON AVE, MEMPHIS, TN 38103(901) 515-5665 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2016, May 17, 2016 (2 updates tracked since 2016).

About Shannon F Anzivino Np NPPES

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

SHANNON F ANZIVINO NP (NPI 1235314840) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (14348) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1235314840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON F ANZIVINOCredential: NP
Location Address877 JEFFERSON AVEMemphis, TN 38103-2807
Mailing Address12148 Brooks Village DrArlington, TN 38002-8473 · (901) 871-7171
Sole ProprietorNo
Enumeration DateJanuary 2, 2008
Last NPPES UpdateNovember 17, 20162 updates tracked since enumeration
NPI 1235314840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 14348
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0050-03854 (NC)
877 JEFFERSON AVE, Memphis, TN 38103

Other Names 1

Former Name (1)Shannon Fitzgerald Np

Other Identifiers 1

OtherF1007039Aanp

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.

Pediatrics (Neonatal-Perinatal Medicine)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Skilled Nursing Facility
877 JEFFERSON AVE, 3RD FLOOR, ADAMS PAVILION
MEMPHIS, TN 38103
Pediatrics (Neonatal-Perinatal Medicine)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Practitioner (Family)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Dietitian, Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103

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 Anzivino's NPI number?

The NPI number for Shannon Anzivino is 1235314840. It was assigned to this individual provider in the NPPES registry on January 2, 2008. The provider is also known as Shannon Fitzgerald Np.

Where is Shannon Anzivino located?

Shannon Anzivino practices at 877 Jefferson Ave, Memphis, TN 38103. The listed phone number is (901) 515-5665.

What is Shannon Anzivino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shannon Anzivino was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.