Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMANTHA SHANNON CNP
NPI 1356277420
Nurse Practitioner - Family in Addison, IL

Active since June 18, 2026
1221 N SWIFT RD, ADDISON, IL 60101(614) 252-8890 Get Directions Write a Review

NPPES record added: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Shannon Cnp NPPES

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

SAMANTHA SHANNON CNP (NPI 1356277420) is an individual family provider in Addison, Illinois, licensed in Ohio (APRN.CNP.0042450) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1356277420
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA SHANNONCredential: CNP
Location Address1221 N SWIFT RDAddison, IL 60101-6105
Mailing Address3882 Snowshoe AveGrove City, OH 43123-1195 · (740) 505-1696
Sole ProprietorNo
Enumeration DateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1356277420 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 OH · APRN.CNP.0042450
1221 N SWIFT RD, Addison, IL 60101

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Psychiatric/Mental Health)
1221 N SWIFT RD
ADDISON, IL 60101
Nurse Practitioner (Family)
1221 N SWIFT RD
ADDISON, IL 60101
Nurse Practitioner (Family)
1221 N SWIFT RD
ADDISON, IL 60101
Student in an Organized Health Care Education/Training Program
1221 N SWIFT RD
ADDISON, IL 60101
Nurse Practitioner (Family)
1221 N SWIFT RD
ADDISON, IL 60101
Nurse Practitioner (Family)
1221 N SWIFT RD
ADDISON, IL 60101
Nurse Practitioner (Family)
1221 N SWIFT RD
ADDISON, IL 60101
Nurse Practitioner (Family)
1221 N SWIFT RD
ADDISON, IL 60101

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 Samantha Shannon's NPI number?

The NPI number for Samantha Shannon is 1356277420. It was assigned to this individual provider in the NPPES registry on June 18, 2026.

Where is Samantha Shannon located?

Samantha Shannon practices at 1221 N Swift Rd, Addison, IL 60101. The listed phone number is (614) 252-8890.

What is Samantha Shannon'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 Samantha Shannon was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.