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

Shannon Elizabeth Lord, FNP

Individual provider Family Nurse Practitioner · NPI 1104638998

Shannon Elizabeth Lord, FNP is a Nurse Practitioner in Syracuse, New York. Qualified in 2024, 2 years ago. Practices with Suny Health Science Center at Syracuse, a 210-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

736 Irving Ave
Syracuse, NY 13210-1602
Phone: (315) 470-7424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F354246 (NY)

Record details

NPI number1104638998
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 21, 2025
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Suny Health Science Center At Syracuse — 210 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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