Individual provider Active NPI

Shauna Lee Barbeau, MSN CNP

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1053470963
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704252799 Issued in MI
Practice address
1522 Janes St
Saginaw, MI 48601-1819
Phone
(989) 755-0316
Fax
(989) 755-0956
NPI assigned
Dec 6, 2006
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704252799 MI Primary

Addresses

Primary practice location

1522 Janes St
Saginaw, MI 48601-1819

Mailing address

501 Lapeer
Saginaw, MI 48607-1208
Phone (989) 759-6464

Other names 1

  • Shauna Lee Doolittle Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Shauna.barbeau@direct.medfusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000061 MI Practitioner - Nurse Practitioner 1951302223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704252799MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Sep 28, 2012 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Sep 28, 2012 Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients

Locations

6297 Dixie Hwy
Bridgeport, MI 48722
Phone (989) 759-6460

1522 Janes Ave
Saginaw, MI 48601
Phone (989) 755-0316

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

700 Court St
Saginaw, MI 48602
Phone (989) 907-2761

Interoperability endpoints

  • Direct secure messaging: shauna.barbeau.1@27771.direct.athenahealth.com
  • Direct secure messaging: shauna.barbeau@direct.medfusion.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1053470963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAPEER",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071208",
            "telephone_number": "989-759-6464",
            "fax_number": "989-399-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 JANES ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486011819",
            "telephone_number": "989-755-0316",
            "fax_number": "989-755-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBEAU",
        "first_name": "SHAUNA",
        "middle_name": "LEE",
        "credential": "MSN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704252799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shauna.barbeau@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "1522 Janes St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486011819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "DOOLITTLE",
            "middle_name": "LEE",
            "credential": "MSN  CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.