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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174937361

Shannon Kathleen Spina, NPP is a Nurse Practitioner in Syracuse, New York. Qualified in 2014, 12 years ago. Practices with St Josephs Hospital Health Center, a 108-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

742 James St
Syracuse, NY 13203-2017
Phone: (315) 703-2745
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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 401707 (NY)

Record details

NPI number1174937361
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPP
Sole proprietorNo
NPI enumeratedJune 16, 2014
Last updated in NPPESAugust 21, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Josephs Hospital Health Center — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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