Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON BRISTOW
NPI 1831890458
Nurse Practitioner - Family in Boise, ID

Q: What is Shannon Bristow's NPI number?

The NPI number for Shannon Bristow is 1831890458. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Q: What is Shannon Bristow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Bristow was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 10, 2023

3290 S GEKELER LN APT L104, BOISE, ID 83706(541) 601-5212 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Mar 10, 2023 (2 updates tracked since 2023).

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About Shannon Bristow NPPES

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

SHANNON BRISTOW (NPI 1831890458) is an individual family provider in Boise, Idaho, licensed in Idaho (7071592) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1831890458

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON BRISTOW

Location Address3290 S GEKELER LN APT L104Boise, ID 83706-5215

Mailing Address3290 S Gekeler Ln Apt L104Boise, ID 83706-5215 · (541) 601-5212

Phone(541) 601-5212

Sole ProprietorNo

Enumeration DateMarch 10, 2023

Last NPPES UpdateOctober 27, 20262 updates tracked since enumeration

NPPES CertifiedOctober 27, 2026

✔ NPI 1831890458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in ID · 7071592

3290 S GEKELER LN APT L104, Boise, ID 83706

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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 Bristow's NPI number?

The NPI number for Shannon Bristow is 1831890458. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Where is Shannon Bristow located?

Shannon Bristow practices at 3290 S Gekeler Ln Apt L104, Boise, ID 83706. The listed phone number is (541) 601-5212.

What is Shannon Bristow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shannon Bristow was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.