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

Q: What is Shannon Creedon's NPI number?

The NPI number for Shannon Creedon is 1548639487. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Q: What is Shannon Creedon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Creedon was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 22, 2015

3488 DEPEW AVE, PORT CHARLOTTE, FL 33952(941) 764-7923 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Creedon Cpnp NPPES

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

SHANNON CREEDON CPNP (NPI 1548639487) is an individual pediatrics provider in Port Charlotte, Florida, licensed in Florida (APRN11014376) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1548639487

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSHANNON CREEDONCredential: CPNP

Location Address3488 DEPEW AVEPort Charlotte, FL 33952-7015

Mailing Address47 Briggsboro LnFairport, NY 14450-3805 · (315) 507-1878

Phone(941) 764-7923

Sole ProprietorYes

Enumeration DateSeptember 22, 2015

Last NPPES UpdateJuly 30, 2021

NPPES CertifiedJuly 29, 2021

✔ NPI 1548639487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN11014376

Also ListedRegistered NurseTaxonomy 163W00000X · License 686564 (NY)

3488 DEPEW AVE, Port Charlotte, FL 33952

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Other Providers at the Same Location NPPES 3

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

BELKIS RAQUEL CEPERO M.D.

Pediatrics

3488 DEPEW AVE
PORT CHARLOTTE, FL 33952

Charlotte County (941) 764-7923

MRS. DENISE MUELLER-BARKER ARNP

Nurse Practitioner (Pediatrics)

3488 DEPEW AVE
PORT CHARLOTTE, FL 33952

Charlotte County (941) 764-7923

CEPERO PEDIATRICS, P.A.

Pediatrics

3488 DEPEW AVE
PORT CHARLOTTE, FL 33952

Charlotte County (941) 764-7923

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 Creedon's NPI number?

The NPI number for Shannon Creedon is 1548639487. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is Shannon Creedon located?

Shannon Creedon practices at 3488 Depew Ave, Port Charlotte, FL 33952. The listed phone number is (941) 764-7923.

What is Shannon Creedon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Shannon Creedon was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.