{"npi":"1336596121","type":"NPI-1","status":"active","name":{"display":"Shannon Sullivan-Evans FNP-Bc","other":[{"code":"1","type":"Formerly known as","value":"SULLIVAN, SHANNON COLLEEN"}],"first":"SHANNON","last":"SULLIVAN-EVANS","credential":"FNP-BC"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"TN","license":"RN96411"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"TN","license":"APN21230"}]},"addresses":[{"purpose":"LOCATION","street_1":"423 MEDICAL PARK DR STE 100","city":"LENOIR CITY","state":"TN","postal_code":"377725641","country_code":"US","phone":"8652716600","fax":"8653742102"},{"purpose":"MAILING","street_1":"423 MEDICAL PARK DR STE 100","city":"LENOIR CITY","state":"TN","postal_code":"377725641","country_code":"US","phone":"8652716600","fax":"8653742102"}],"license":{"state":"TN","number":"APN21230"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q022325","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160907000509","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TN","pac_id":"6608162318"}]},"enumeration_date":"2016-05-21","last_updated":"2023-01-20","_meta":{"source":"NPPES","snapshot_date":"2023-01-20","doc_url":"https://findmynpi.com/api"}}