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LISA SHANNON DO, PA
NPI 1639718836
Clinic/Center - Primary Care in Bradenton, FL

Active since January 06, 2020
250 2ND ST E STE 3B, BRADENTON, FL 34208(941) 746-4151 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Jan 6, 2020 (2 updates tracked since 2020).

About Lisa Shannon Do, Pa NPPES

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

LISA SHANNON DO, PA (NPI 1639718836) is a healthcare organization registered as a primary care in Bradenton, Florida and active in the NPI registry since January 2020. The organization lists Lisa Shannon, Physician, as its authorized official.

NPPES Registry Identity

NPI1639718836
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLISA SHANNON DO, PA
Location Address250 2ND ST E STE 3BBradenton, FL 34208-1027
Mailing Address250 2nd St E Ste 3bBradenton, FL 34208-1027 · (941) 746-4151
Phone(941) 746-4151
Organization SubpartNo
Authorized OfficialLisa ShannonPhysician · (941) 746-4151
Enumeration DateJanuary 6, 2020
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2020
✔ NPI 1639718836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
250 2ND ST E STE 3B, Bradenton, FL 34208
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Other Identifiers 1

Medicaid011944000FL

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.

MEGAN FALLON ARNP
Nurse Practitioner (Family)
250 2ND ST E STE 3B
BRADENTON, FL 34208
Manatee County (941) 746-4151
SEAN NONNEMAKER EXT DO PA
Internal Medicine
250 2ND ST E STE 3B
BRADENTON, FL 34208
Manatee County (941) 746-4151
DR. TARA SUMMER TAVAKOLI DO
Family Medicine
250 2ND ST E STE 3B
BRADENTON, FL 34208
Manatee County (941) 746-4151

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 Lisa Shannon Do, PA's NPI number?

The NPI number for Lisa Shannon Do, PA is 1639718836. It was assigned to this organization in the NPPES registry on January 6, 2020.

Where is Lisa Shannon Do, PA located?

Lisa Shannon Do, PA is located at 250 2nd St E Ste 3B, Bradenton, FL 34208. The listed phone number is (941) 746-4151.

What is Lisa Shannon Do, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lisa Shannon Do, PA was last updated on September 6, 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.