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SHANNON MICHAEL GENNETTE
NPI 1336786144
Nurse Practitioner - Family in San Jose, CA

Active since November 30, 2019
751 S BASCOM AVE, SAN JOSE, CA 95128(408) 885-2454 Get Directions Write a Review

NPPES record last updated: November 30, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shannon Michael Gennette NPPES

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

SHANNON MICHAEL GENNETTE (NPI 1336786144) is an individual family provider in San Jose, California, licensed in California (95012678) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1336786144
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON MICHAEL GENNETTE
Location Address751 S BASCOM AVESan Jose, CA 95128-2699
Mailing Address751 S Bascom AveSan Jose, CA 95128-2699 · (408) 885-2454
Phone(408) 885-2454
Sole ProprietorNo
Enumeration DateNovember 30, 2019
✔ NPI 1336786144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95012678
751 S BASCOM AVE, San Jose, CA 95128
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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.

MS. TRANG N NGUYEN PHARM.D
Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-2360
DR. ILANA TRAYNIS M.D.
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Santa Clara County (408) 885-6300
DR. ABBY KATHERINE SCURFIELD MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
GABRIELLE MINEHAN CCP
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
PRIYA NIGAM MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
CAROLINE DENISON JORDAN
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
MICHAEL NATHANSON MD, PHD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
EAMONN PATRICK DUNPHY MD
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128
Santa Clara County (408) 885-4150

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 Gennette's NPI number?

The NPI number for Shannon Gennette is 1336786144. It was assigned to this individual provider in the NPPES registry on November 30, 2019.

Where is Shannon Gennette located?

Shannon Gennette practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-2454.

What is Shannon Gennette'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 Gennette was last updated on November 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.