Healthcare Provider Details

I. General information

NPI: 1124934849
Provider Name (Legal Business Name): LILYPAD HEALTH PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CAVALRY CT
DANVILLE CA
94526-3903
US

IV. Provider business mailing address

28 CAVALRY CT
DANVILLE CA
94526-3903
US

V. Phone/Fax

Practice location:
  • Phone: 925-489-0946
  • Fax: 949-948-0676
Mailing address:
  • Phone: 925-330-5519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHANNON RENEE GIGOUNAS
Title or Position: OWNER, FAMILY NURSE PRACTITIONER
Credential: DNP, RN, FNP-BC
Phone: 925-330-5519