Individual provider · Type 1 NPI
Kassandra Nicole Shannon
Nurse Practitioner · Lake Barrington, IL
Practice location
22285 N Pepper Rd Ste 310
Lake Barrington, IL 60010-2541
Mailing address
22285 N Pepper Rd Ste 311
Lake Barrington, IL 60010-2541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209.034375 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1699633255
Kassandra Nicole Shannon's National Provider Identifier is 1699633255, issued on Jan 13, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Barrington, IL. The record was last updated on Apr 23, 2026.