SHANNAN SOUZA APRN LLC
NPI 1992421622
Family Medicine in Pottsville, AR

Active since October 14, 2022CLIA 04D2271630 · Waiver
5150A SR 247, POTTSVILLE, AR 72858(479) 567-5680(479) 567-5679 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2022, Oct 14, 2022 (2 updates tracked since 2022).

About Shannan Souza Aprn Llc NPPES

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

SHANNAN SOUZA APRN LLC (NPI 1992421622) is a healthcare organization registered as a family medicine in Pottsville, Arkansas and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Shannan Souza, Owner, as its authorized official.

NPPES Registry Identity

NPI1992421622
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHANNAN SOUZA APRN LLC
Location Address5150A SR 247Pottsville, AR 72858-6002
Mailing Address5150a Sr 247Pottsville, AR 72858-6002 · (479) 567-5680 · Fax (479) 567-5679
Fax(479) 567-5679
Organization SubpartNo
Authorized OfficialShannan SouzaOwner · (479) 495-0821
Enumeration DateOctober 14, 2022
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
NPI 1992421622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5150A SR 247, Pottsville, AR 72858

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2271630

Shannan Souza Aprn LLC · Pottsville, AR
Active · expires Nov 3, 2026
CLIA Number04D2271630
Laboratory TypePractitioner Other
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorMs. Shannon Souza
Laboratory Phone(479) 567-5680
Laboratory LocationShannan Souza Aprn LLC5150A Sr 247, Pottsville, AR 72858
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
5150A SR 247
POTTSVILLE, AR 72858

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 Shannan Souza Aprn LLC's NPI number?

The NPI number for Shannan Souza Aprn LLC is 1992421622. It was assigned to this organization in the NPPES registry on October 14, 2022.

Where is Shannan Souza Aprn LLC located?

Shannan Souza Aprn LLC is located at 5150A Sr 247, Pottsville, AR 72858. The listed phone number is (479) 567-5680.

What is Shannan Souza Aprn LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shannan Souza Aprn LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2271630) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shannan Souza Aprn LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Shannan Souza Aprn LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannan Souza Aprn LLC was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.