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

Shannon Coulson, NP

Individual provider Gerontology Nurse Practitioner · NPI 1295237477

Shannon Coulson, NP is a Nurse Practitioner in Norfolk, Virginia. Qualified in 2017, 9 years ago. Practices with Bodhi Wellness, LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4901 Colley Ave
Norfolk, VA 23508-2067
Phone: (757) 239-5858
Fax: (757) 231-6736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024175887 (VA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 0024175887 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024175887 (VA)

Record details

NPI number1295237477
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 5, 2018
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Bodhi Wellness, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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