SANDRA SHANNON
NPI 1881332666
Counselor - Professional in Winchester, KY

Q: What is Sandra Shannon's NPI number?

The NPI number for Sandra Shannon is 1881332666. It was assigned to this individual provider in the NPPES registry on May 23, 2022. The provider is also known as Sandi Shannon.

Q: What is Sandra Shannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Shannon was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 23, 2022PECOS Enrolled

7 WAVELAND AVE, WINCHESTER, KY 40391(859) 385-4669 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, May 24, 2022 (2 updates tracked since 2022).

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About Sandra Shannon NPPES

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

SANDRA SHANNON (NPI 1881332666) is an individual professional provider in Winchester, Kentucky, licensed in Kentucky (307154) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881332666

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSANDRA SHANNON

Location Address7 WAVELAND AVEWinchester, KY 40391-1231

Mailing Address1801 Watermark DrColumbus, OH 43215-7088 · (614) 438-3400

Phone(859) 385-4669

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 23, 2022

Last NPPES UpdateApril 10, 20262 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1881332666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 307154

7 WAVELAND AVE, Winchester, KY 40391

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Other Names 1

Other Name (5)Sandi Shannon

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Shannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931676467

PECOS Enrollment IDI20260422000956

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

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

NIKI L LEDFORD

Case Manager/Care Coordinator