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

Mrs. Shannon Nicole Lopez, PA

Individual provider Physician Assistant · NPI 1669185070

Mrs. Shannon Nicole Lopez, PA is a Physician Assistant in Hunt Valley, Maryland. Graduated from Eastern Virginia Medical School in 2023, 3 years ago. Practices with Fairfax Family Practice Centers PC, a 106-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
3
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

11350 McCormick Rd Ste 501
Hunt Valley, MD 21031-1002
Phone: (703) 738-4371
Show map & directions

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

Additional practice locations (1)

  • 9276 Old Keene Mill Rd, Burke, VA 22015-4201 — (571) 516-3116

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009442 (VA)

Record details

NPI number1669185070
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 30, 2022
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Group practice Fairfax Family Practice Centers Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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