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

Shannon Leigh Nicholson, CFNP

Individual provider Family Nurse Practitioner · NPI 1457507717

Shannon Leigh Nicholson, CFNP is a Nurse Practitioner in Lansdowne, Virginia. Qualified in 2008, 18 years ago. Practices with The National Sports Medicine Institute, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
18
Licensed in
VA
In the registry since
2008

Practice location Address checks out

19455 Deerfield Ave Ste 312
Lansdowne, VA 20176-8100
Phone: (703) 729-5010
Fax: (703) 729-5833
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 0024167932 (VA)

Record details

NPI number1457507717
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedAugust 18, 2008
Last updated in NPPESJune 21, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice The National Sports Medicine Institute,Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lansdowne