Katherina A Shahan, NP-C

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

49959 Issued in WY

Practice address

1414 W 4TH St
Gillette, WY 82716-3328

Phone

(307) 682-6263

Fax

(307) 682-2024

NPI assigned

Feb 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katherina A Christian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1073219895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W 4TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163328",
            "telephone_number": "307-682-6263",
            "fax_number": "307-682-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W 4TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163328",
            "telephone_number": "307-682-6263",
            "fax_number": "307-682-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAN",
        "first_name": "KATHERINA",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "49959",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WY",
            "license": "49959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINA",
            "last_name": "CHRISTIAN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Schwartz
• Desiree Scott
• Susan Serge
• Alisha Anne Serowka
• Sairav B Shah, M.D.
• Elizabeth Shandor, D.O.
• Barry Shannon, MSW
• Kaitlynn Shaw, MA
• Whitney Renee Shawver, FNP-C
• Shelley M. Shepard M.D.P.C.

• Women's Health Nurse Practitioner in Gillette, WY
• Providers in Gillette, WY by specialty
• Women's Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.