SHANNON M HARRIS NP
NPI 1609273374
Nurse Practitioner - Pediatrics in Saint Louis, MO

Active since November 24, 2014
12680 OLIVE BLVD STE 116, SAINT LOUIS, MO 63141(314) 529-5660 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2024, Sep 29, 2015 (2 updates tracked since 2015).

About Shannon M Harris Np NPPES

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

SHANNON M HARRIS NP (NPI 1609273374) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2021045875) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1609273374
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSHANNON M HARRISCredential: NP
Location Address12680 OLIVE BLVD STE 116Saint Louis, MO 63141-6322
Mailing Address12680 Olive Blvd Ste 116Saint Louis, MO 63141-6322 · (314) 529-5660
Sole ProprietorNo
Enumeration DateNovember 24, 2014
Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
NPI 1609273374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in MO · 2021045875 Licensed in IL · 041355995
12680 OLIVE BLVD STE 116, Saint Louis, MO 63141

Accepted Insurance

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.

Social Worker (Clinical)
12680 OLIVE BLVD STE 116
SAINT LOUIS, MO 63141
Psychologist
12680 OLIVE BLVD STE 116
SAINT LOUIS, MO 63141
Pediatrics
12680 OLIVE BLVD STE 116
SAINT LOUIS, MO 63141

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 Harris's NPI number?

The NPI number for Shannon Harris is 1609273374. It was assigned to this individual provider in the NPPES registry on November 24, 2014.

Where is Shannon Harris located?

Shannon Harris practices at 12680 Olive Blvd Ste 116, Saint Louis, MO 63141. The listed phone number is (314) 529-5660.

What is Shannon Harris's specialty?

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

What insurance does Shannon Harris accept?

Health plans from Medica list Shannon Harris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Harris was last updated on March 8, 2024. 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.