SHANNON M ANDERSEN BSN, FNP-BC, AOCNP
NPI 1871726612
Nurse Practitioner - Family in New York, NY

Active since August 27, 2009
1275 YORK AVE, FLOOR 4, SUITE 4, NEW YORK, NY 10065(212) 639-2110 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon M Andersen Bsn, Fnp-bc, Aocnp NPPES

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

SHANNON M ANDERSEN BSN, FNP-BC, AOCNP (NPI 1871726612) is an individual family provider in New York, New York, licensed in New York (335789) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1871726612
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON M ANDERSENCredential: BSN, FNP-BC, AOCNP
Location Address1275 YORK AVE, FLOOR 4, SUITE 4New York, NY 10065-6007
Mailing Address296 Dekalb Ave, Apt 1Brooklyn, NY 11205-3733 · (425) 418-5342
Sole ProprietorNo
Enumeration DateAugust 27, 2009
Last NPPES UpdateOctober 24, 2013
NPI 1871726612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 335789
Also ListedRegistered NurseTaxonomy 163W00000X · License 540332 (NY)
1275 YORK AVE, New York, NY 10065

Other Names 1

Former Name (1)Shannon M Kortekaas Bsn, Rn, Ocn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Andersen's NPI number?

The NPI number for Shannon Andersen is 1871726612. It was assigned to this individual provider in the NPPES registry on August 27, 2009. The provider is also known as Shannon M Kortekaas Bsn, Rn, Ocn.

Where is Shannon Andersen located?

Shannon Andersen practices at 1275 York Ave Floor 4, Suite 4, New York, NY 10065. The listed phone number is (212) 639-2110.

What is Shannon Andersen'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 Andersen was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.