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

Individual provider Family Nurse Practitioner · NPI 1104459908

Sonia Simeoni-Shannon is a Nurse Practitioner in Santa Fe, New Mexico. Qualified in 2020, 6 years ago. Practices with St Vincent Hospital, a 332-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
6
Licensed in
NM
In the registry since
2020
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Practice location Address checks out

34 Cuesta Rd
Santa Fe, NM 87508-8780
Phone: (607) 215-2807
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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 60073 (NM)

Record details

NPI number1104459908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2020
Last updated in NPPESJuly 31, 2023
Certification dateJuly 29, 2023
Mailing address34 Cuesta Rd, Santa Fe, NM 87508-8780

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)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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