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CATHERINE MARY SHANNON FNP
NPI 1366507329
Nurse Practitioner - Family in Smithtown, NY

Active since December 27, 2006
50 ROUTE 25A, SMITHTOWN, NY 11787(631) 862-3541(631) 862-3717 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Catherine Mary Shannon Fnp NPPES

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

CATHERINE MARY SHANNON FNP (NPI 1366507329) is an individual family provider in Smithtown, New York, licensed in New York (F 332622) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1366507329
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCATHERINE MARY SHANNONCredential: FNP
Location Address50 ROUTE 25ASmithtown, NY 11787-1348
Mailing Address65 Island PkwyIsland Park, NY 11558-1403 · (631) 862-3541 · Fax (631) 862-3717
Phone(631) 862-3541
Fax(631) 862-3717
Sole ProprietorYes
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366507329 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 NY · F 332622
50 ROUTE 25A, Smithtown, NY 11787
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Other Identifiers 1

Medicare UPINP16998NY

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.

DR. MANISHA KANUMURI MD
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
KIYOSHI TAIBU CHANDLER DO
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 376-4163
SALMA SANZIDA ISLAM M.D
Internal Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
DR. NICOLAE DRAGOS BIZETA MD
Internal Medicine (Infectious Disease)
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 406-0006
ISLAM FURSAN HASASNA DO
Student in an Organized Health Care Education/Training Program
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
DR. DIANA Z AKBERZIE MD
Internal Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3890
ST. CATHERINE OF SIENA MEDICAL CENTER
General Acute Care Hospital
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3541
DR. JOSHUA PETER BOZEK D.O.
Emergency Medicine
50 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3111

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 Catherine Shannon's NPI number?

The NPI number for Catherine Shannon is 1366507329. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Catherine Shannon located?

Catherine Shannon practices at 50 Route 25A, Smithtown, NY 11787. The listed phone number is (631) 862-3541.

What is Catherine 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 Catherine Shannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.