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

Tracey Leah Shannon, NP

Individual provider Adult Health Nurse Practitioner · NPI 1457580839

Tracey Leah Shannon, NP is a Nurse Practitioner in Hawthorne, New York. Qualified in 2009, 17 years ago. Practices with Westchester Medical Center Advanced Physician Services PC, a 880-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

19 Bradhurst Ave Ste 3850S
Hawthorne, NY 10532
Phone: (914) 909-6900
Fax: (914) 493-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 520 E 70th St, New York, NY 10021-9800 — (212) 746-4857

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 305147 (NY)

Record details

NPI number1457580839
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 7, 2009
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Westchester Medical Center Advanced Physician Services Pc — 880 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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