Skip to content

Shannon Rea

NPI 1497994958ActiveIndividual· Contractor· Staten Island, NY

Contractor in Staten Island, New York, licensed in NY, with an NPI issued in February 2009.

Overview

NPI1497994958
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedFeb 6, 2009
Last updated in NPPESMar 9, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X0071081NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Contractor providers in Staten Island

All Contractor providers in New York →