KIMBERLY EVETTE SHANNON RPH
NPI 1700160694
Custodial Care Facility - Adult Care Home in Bradenton, FL

Q: What is Kimberly Shannon's NPI number?

The NPI number for Kimberly Shannon is 1700160694. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Q: What is Kimberly Shannon's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Shannon was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 October 10, 2011

2817 2ND STREET EAST, BRADENTON, FL 34208(941) 782-7024(833) 374-2750 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Evette Shannon Rph NPPES

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

KIMBERLY EVETTE SHANNON RPH (NPI 1700160694) is an individual adult care home provider in Bradenton, Florida and active in the NPI registry since October 2011. She maintains a secondary practice location in Palmetto.

NPPES Registry Identity

NPI1700160694

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameKIMBERLY EVETTE SHANNONCredential: RPH

Location Address2817 2ND STREET EASTBradenton, FL 34208

Mailing Address930 8th Ave WPalmetto, FL 34221-4712 · (941) 729-5250 · Fax (941) 729-7899

Phone(941) 782-7024

Fax(833) 374-2750

Sole ProprietorYes

Enumeration DateOctober 10, 2011

Last NPPES UpdateDecember 9, 2024

NPPES CertifiedDecember 6, 2024

✔ NPI 1700160694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedPharmacistTaxonomy 183500000X · License PS30747 (FL)

2817 2ND STREET EAST, Bradenton, FL 34208

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Secondary Practice Location 1

Location 1930 8th Ave WPalmetto, FL 34221-4712 · Phone (941) 729-5250 · Fax (941) 729-7899

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 Kimberly Shannon's NPI number?

The NPI number for Kimberly Shannon is 1700160694. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Where is Kimberly Shannon located?

Kimberly Shannon practices at 2817 2nd Street East, Bradenton, FL 34208. The listed phone number is (941) 782-7024.

What is Kimberly Shannon's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Kimberly Shannon was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.