SHANNON MARGARET EDWARDS
NPI 1306689468
Assisted Living Facility in Port Saint Lucie, FL

Q: What is Shannon Edwards's NPI number?

The NPI number for Shannon Edwards is 1306689468. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Q: What is Shannon Edwards's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Edwards was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 17, 2024

2637 SW FAIR ISLE RD, PORT SAINT LUCIE, FL 34987(772) 446-2040 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shannon Margaret Edwards NPPES

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

SHANNON MARGARET EDWARDS (NPI 1306689468) is an individual assisted living facility provider in Port Saint Lucie, Florida, licensed in Florida (13887) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1306689468

Entity TypeIndividualFemale

Primary Taxonomy310400000X

Provider Legal NameSHANNON MARGARET EDWARDS

Location Address2637 SW FAIR ISLE RDPort Saint Lucie, FL 34987-2093

Mailing Address2637 Sw Fair Isle RdPort Saint Lucie, FL 34987-2093 · (772) 446-2040

Phone(772) 446-2040

Sole ProprietorYes

Enumeration DateJune 17, 2024

NPPES CertifiedJune 17, 2024

✔ NPI 1306689468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · 13887

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2637 SW FAIR ISLE RD, Port Saint Lucie, FL 34987

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Other Providers at the Same Location NPPES

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

JJ MANOR ASSISTED LIVING, LLC

Assisted Living Facility

2637 SW FAIR ISLE RD
PORT SAINT LUCIE, FL 34987

St. Lucie County (772) 446-2040

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 Edwards's NPI number?

The NPI number for Shannon Edwards is 1306689468. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Shannon Edwards located?

Shannon Edwards practices at 2637 SW Fair Isle Rd, Port Saint Lucie, FL 34987. The listed phone number is (772) 446-2040.

What is Shannon Edwards's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Shannon Edwards was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.