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MRS. SHANNON ELIZABETH JOHNSON PA-C
NPI 1922178045
Physician Assistant - Medical in Dryden, NY

Active since November 08, 2006
83 LEWIS ST, DRYDEN, NY 13053(607) 844-8201(607) 844-4922 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shannon Elizabeth Johnson Pa-c NPPES

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

MRS. SHANNON ELIZABETH JOHNSON PA-C (NPI 1922178045) is an individual medical provider in Dryden, New York, licensed in New York (007939-1) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1922178045
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. SHANNON ELIZABETH JOHNSONCredential: PA-C
Location Address83 LEWIS STDryden, NY 13053
Mailing Address4 Ferndale LnHomer, NY 13077-9418 · (607) 749-6511 · Fax (607) 844-4922
Phone(607) 844-8201
Fax(607) 844-4922
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922178045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 007939-1
83 LEWIS ST, Dryden, NY 13053
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Other Identifiers 2

Medicare ID-Type UnspecifiedCC8015NY
Medicare UPINP39318NY

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 Johnson's NPI number?

The NPI number for Shannon Johnson is 1922178045. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Shannon Johnson located?

Shannon Johnson practices at 83 Lewis St, Dryden, NY 13053. The listed phone number is (607) 844-8201.

What is Shannon Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Shannon Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.