What is Shannon Lis's NPI number?

Shannon Lis's National Provider Identifier (NPI) is 1043726995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Lis's specialty?

Shannon Lis is listed in the NPPES registry with a primary specialty of Pediatric Registered Nurse (Nursing Service Providers).

Where is Shannon Lis located?

Shannon Lis's practice location on file with NPPES is 62 Port of Spain Rd, Coronado, CA 92118-3226.

What is Shannon Lis's phone number?

The practice phone number listed in the NPPES registry for Shannon Lis is (619) 628-0183.

Is Shannon Lis's NPI active?

Yes — Shannon Lis's NPI (1043726995) is active in the NPPES registry as of the last update on 2017-12-14.

IndividualActive

Shannon Lis, CPNP

NPI 1043726995 · Pediatric Registered Nurse · Coronado, CA

Shannon Lis, CPNP is a Pediatric Registered Nurse provider in Coronado, CA (NPI 1043726995).

Provider details

NPI number: 1043726995
Entity type: Individual
Primary specialty: Pediatric Registered NurseNursing Service Providers
Credential: CPNP
Sex: Female
Sole proprietor: Yes
License: 487112 (CA)

Specialties & taxonomies

Pediatric Registered NursePrimary163WP0200XLicense 487112 (CA)
Nursing Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

62 Port of Spain Rd

Coronado, CA 92118-3226

Phone: (619) 628-0183

Street-level locationGet directions

More CA providers

Mailing address