Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Nicole Beauty

Organization Customized Equipment (DME) · NPI 1104423714

Shannon Nicole Beauty provides Customized Equipment (DME) in Pittsburg, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

239 Fourth Ave Ste 1401 #1462
Pittsburg, PA 15222
Phone: (516) 418-4201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1104423714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Parker — Owner · (516) 418-4201
NPI enumeratedOctober 6, 2020
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021
Mailing address2147 S Lambert St, Philadelphia, PA 19145-3503