Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Shannon, DO

Individual provider Family Medicine Physician · NPI 1548514615

Lisa Shannon, DO is a Family Practice in Bradenton, Florida. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
15
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
FL
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5225 Manatee Ave W
Bradenton, FL 34209-3742
Phone: (941) 708-8081
Fax: (941) 708-8085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 402902 (FL)

Record details

NPI number1548514615
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 29, 2012
Last updated in NPPESJuly 21, 2022
Mailing address367 S. Gulph Rd, Att Ipm Credentialing, King Of Prussia, PA 19406-3121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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