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

Shannon Naymon Petty

Individual provider Case Manager/Care Coordinator · NPI 1477233203

Shannon Naymon Petty is a Case Manager/Care Coordinator in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2041 Martin Luther King Jr Ave SE
Washington, DC 20020-7024
Phone: (202) 547-8450
Fax: (202) 610-7147
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1477233203
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

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