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

Shannon D Edwards

Individual provider Family Nurse Practitioner · NPI 1750262366

Shannon D Edwards is a Nurse Practitioner in LA Habra, California. Qualified in 2021, 5 years ago. Practices with Dazzle Health P C, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2025

Practice location Address checks out

211 Gwynwood Ave
LA Habra, CA 90631-7206
Phone: (714) 791-1420
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95268026 (CA)

Record details

NPI number1750262366
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address211 Gwynwood Ave, La Habra, CA 90631-7206

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dazzle Health P C — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in LA Habra