SHANNON CREEDON CPNP
NPI 1548639487
Nurse Practitioner - Pediatrics in Port Charlotte, FL

NPI Status: Active since September 22, 2015

Contact Information

3488 DEPEW AVE
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 764-7923

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics

About SHANNON CREEDON

This page provides the complete NPI Profile along with additional information for Shannon Creedon, a provider established in Port Charlotte, Florida with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1548639487 assigned on September 2015. The practitioner's primary taxonomy code is 363LP0200X with license number APRN11014376 (FL). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1548639487
Provider Name
SHANNON CREEDON CPNP
Gender
Female
Entity Type
Individual
Location Address
3488 DEPEW AVE PORT CHARLOTTE, FL 33952
Location Phone
(941) 764-7923
Mailing Address
47 BRIGGSBORO LN FAIRPORT, NY 14450
Mailing Phone
(315) 507-1878
Is Sole Proprietor?
Yes
Enumeration Date
09-22-2015
Last Update Date
07-30-2021
Code Navigator

A nurse practitioner (NP) like Shannon Creedon is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN11014376
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

686564 (NY)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548639487, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 1 + 2 + 3 + 1 + 8 + 4 + 1 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1548639487.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
3488 DEPEW AVE
PORT CHARLOTTE, FL 33952
Pediatrics
3488 DEPEW AVE
PORT CHARLOTTE, FL 33952
Pediatrics
3488 DEPEW AVE
PORT CHARLOTTE, FL 33952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548639487, enumerated as an "individual" on September 22, 2015.

The provider is located at 3488 DEPEW AVE PORT CHARLOTTE, FL 33952 and the phone number is (941) 764-7923.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.