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

Mrs. Shannon Leann Mabie, FNP-C

Individual provider Family Nurse Practitioner · NPI 1124502190

Mrs. Shannon Leann Mabie, FNP-C is a Nurse Practitioner in Redlands, California. Qualified in 2018, 8 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
8
Licensed in
CA, OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

255 Terracina Blvd Ste 202
Redlands, CA 92373-4870
Phone: (909) 748-6065
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202200229NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95010011 (CA)

Record details

NPI number1124502190
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESMay 13, 2024
Certification dateMarch 7, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Redlands