Nakita Shaffer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN660563 Issued in PA

Practice address

640 Madison Ave
Scranton, PA 18510-1631

Phone

(570) 961-5550

Fax

(570) 961-3844

NPI assigned

May 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1053977454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PUBLIC SQ STE 600",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011704",
            "telephone_number": "570-826-1777",
            "fax_number": "570-823-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101631",
            "telephone_number": "570-961-5550",
            "fax_number": "570-961-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Public Sq Ste 600",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187011704",
            "country_code": "US",
            "telephone_number": "570-826-1777 x1020",
            "fax_number": "570-823-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "NAKITA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN660563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Scott Severson, CRNP
• Aimee Renee Sewitsky, SLP
• Stephanie Seymour, MSW, LSW
• Samantha Shafer
• Kimberly Grace Shaffer, FNP-C, CRNP
• Chilsia Shafi
• Badar U Din Shah
• Daniel Shah
• Nischay Shah
• Princy Kanakkumar Shah, MD

• Registered Nurse in Scranton, PA
• Providers in Scranton, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.