Shannon D. Edwards
NPI 1750262366ActiveIndividual· Nurse Practitioner, Family· La Habra, CA
Nurse Practitioner, Family with Dazzle Health P C, practicing in La Habra, California. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1750262366 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 10, 2025 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95268026 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Dazzle Health P CIrvine, CA · 29 clinicians
Other facilities
- Angelus Home HealthHome health agency · Ontario, CA
- Prohealth Home Care, IncHome health agency · San Jose, CA
- Promed Health Providers, IncHome health agency · Glendale, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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