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Active NPI 1467186890 Individual Practitioner Female Practitioner

Shannon Bridget Lydon , NP

Nurse Practitioner • Boston, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Lydon, NP is a certified Nurse Practitioner practicing in Boston, MA. With approximately 3 years of clinical experience since completing medical education in 2023, Shannon Lydon delivers high-quality medical care to the local community at 409 W BROADWAY.

Shannon Lydon is affiliated with South Boston Community Health Center and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

409 W Broadway

Boston, MA 021272245

Telephone 6172697500
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Boston, MA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
972 Specialists

Practicing in Boston, MA (3545 Statewide)

Telehealth Adoption Rate
24.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lydon (3 Years) 3 Yrs
Boston Specialty Average (10.2 Years) 10.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-10-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2335175

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Ambulatory Care

NUCC Taxonomy Code: 163WP2201X

State License MA RN2335175

Definition to come...

Hospital & Practice Group Affiliations

South Boston Community Health Center

409 W Broadway, South Boston, MA 021272245

Phone: 6172697500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jin Zhao

Student in an Organized Health Care Education/Training Program

NPI 1013699388
Dr. Pamela Cattel , MD

Internal Medicine

NPI 1023081841

Doctor of Medicine (M.D.)

Dr. Jennifer Soncini , DDS

Dentist - Pediatric Dentistry

NPI 1023149424

Doctor of Dental Surgery

Emma Pitoniak

Nurse Practitioner - Family

NPI 1053082677
Patricia Williams

Nurse Practitioner

NPI 1053273243
NPI 1093104408

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated September 18, 2023

Recorded as SHANNON LYDON, NP

NPI Profile Active July 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2022

Registered at 409 W BROADWAY, BOSTON, MA 021272245 (Tel: 6172697500)

📍
Updated Business Mailing Address July 12, 2022

Registered at 409 W BROADWAY, BOSTON, MA 021272245 (Tel: 6172697500)

👤
Provider Name / Credentials Updated July 12, 2022

Recorded as SHANNON LYDON, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2022

Registered Nurse (License #RN2335175 in MA)

🟢
Initial NPI Registration & Enumeration July 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467186890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2022
Last Update: October 18, 2023
Sole Proprietor: Yes

Mailing Address

409 W Broadway

Boston, MA 021272245

Phone: 6172697500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.