Tilitha S Shawgo

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

209.001606 Issued in IL

Practice address

751 N Rutledge St
Springfield, IL 62702-4909

Phone

(217) 545-4421

NPI assigned

Aug 26, 2008

Last updated

Aug 26, 2008By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1063669661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19638",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949638",
            "telephone_number": "217-545-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N RUTLEDGE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024909",
            "telephone_number": "217-545-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWGO",
        "first_name": "TILITHA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "IL",
            "license": "209.001606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly A Shasteen, CRNA
• Shaughnessy Reid DC LLC
• Christine Shaw
• Rebecca A. Shaw, LCSW
• Jamie Shawgo, LCPC
• Laura K Shea, M.D.
• Lindsey Shehee, MD
• Maryam Sheikh, D.O.
• Prashanth C Shekar, MD
• Daniel Shekleton, M.D.

• Acute Care Clinical Nurse Specialist in Springfield, IL
• Providers in Springfield, IL by specialty
• Acute Care Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.