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

Shannon Lynn Brooks, APRN

Individual provider Family Medicine Physician · NPI 1639787245

Shannon Lynn Brooks, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2020, 6 years ago. Licensed in Kentucky and Ohio.

Years since qualifying
6
Licensed in
KY, OH
In the registry since
2020
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

170 Dr Arla Way Ste 101
Louisville, KY 40229-5427
Phone: (502) 955-8480
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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 3014491 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence KY19765 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0042420 (OH)

Record details

NPI number1639787245
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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