SHANNON ROSE DI VIRGILIO
NPI 1629895669
Counselor - Professional in Memphis, TN
About Shannon Rose Di Virgilio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON ROSE DI VIRGILIO (NPI 1629895669) is an individual professional provider in Memphis, Tennessee, licensed in Tennessee (7013) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Rose Di Virgilio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Di Virgilio's NPI number?
The NPI number for Shannon Di Virgilio is 1629895669. It was assigned to this individual provider in the NPPES registry on September 23, 2024.
Where is Shannon Di Virgilio located?
Shannon Di Virgilio practices at 324 Night Sail Dr N Apt 301, Memphis, TN 38103. The listed phone number is (706) 889-0383.
What is Shannon Di Virgilio's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shannon Di Virgilio enrolled in Medicare?
Yes. Shannon Di Virgilio is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shannon Di Virgilio was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.
# Shannon Rose Di Virgilio · NPI 1629895669
Professional provider in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1629895669 (Entity type: Individual)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 7013 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 324 NIGHT SAIL DR N APT 301, Memphis, TN 38103-0010
- **Phone:** (706) 889-0383
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 20, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1629895669) · Data from the CMS NPPES public registry.