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

MS. Shannon Lynne Johnson, NP-C

Individual provider Adult Health Nurse Practitioner · NPI 1417158296

MS. Shannon Lynne Johnson, NP-C is a Nurse Practitioner in East Boston, Massachusetts. Qualified in 2006, 20 years ago. Practices with Beth Israel Lahey Health Primary Care, Inc, a 353-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
20
Licensed in
MA
In the registry since
2007
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

10 Gove St
East Boston, MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 262820 (MA)

Record details

NPI number1417158296
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESFebruary 1, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Beth Israel Lahey Health Primary Care, Inc — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Boston