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SHANNON D CARLISLE
NPI 1538933221
Nurse Practitioner - Family in Laurel, MD

Active since November 13, 2023
372 MAIN STREET, LAUREL, MD 20707(240) 294-4079 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon D Carlisle NPPES

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

SHANNON D CARLISLE (NPI 1538933221) is an individual family provider in Laurel, Maryland, licensed in Maryland (R217859) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1538933221
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON D CARLISLE
Location Address372 MAIN STREETLaurel, MD 20707
Mailing Address3019 Brodkin AveFort Washington, MD 20744-2306
Phone(240) 294-4079
Sole ProprietorNo
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 6, 2023
✔ NPI 1538933221 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 MD · R217859
372 MAIN STREET, Laurel, MD 20707
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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.

SUZY DJAMPOUOP HILL FNP
Nurse Practitioner (Family)
372 MAIN STREET
LAUREL, MD 20707
Prince George's County (240) 294-4079

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 Carlisle's NPI number?

The NPI number for Shannon Carlisle is 1538933221. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Shannon Carlisle located?

Shannon Carlisle practices at 372 Main Street, Laurel, MD 20707. The listed phone number is (240) 294-4079.

What is Shannon Carlisle'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 Carlisle was last updated on November 13, 2023. 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.