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

Shannon Lyons, RN, FNP

Individual provider Community Health Registered Nurse · NPI 1033968003

Shannon Lyons, RN, FNP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2024, 2 years ago. Practices with Codman Square Health Center, Inc, a 67-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
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

637 Washington St
Boston, MA 02124-3510
Phone: (617) 825-9660
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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 RN2333565 (MA)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence RN2333565 (MA)

Record details

NPI number1033968003
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address104 Bell Rock St, Malden, MA 02148-7528

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 Codman Square Health Center, Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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