Jennifer Lea Myers Shotwell, MSN CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

270 Issued in HI

Practice address

64-1032 Mamalahoa Hwy
Suite 204
Kamuela, HI 96743-8441

Phone

(808) 887-6543

Fax

(808) 887-6294

NPI assigned

Oct 19, 2006

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1083796940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6149",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967436149",
            "telephone_number": "808-887-6543",
            "fax_number": "808-887-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY",
            "address_2": "SUITE 204",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438441",
            "telephone_number": "808-887-6543",
            "fax_number": "808-887-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTWELL",
        "first_name": "JENNIFER",
        "middle_name": "LEA MYERS",
        "name_prefix": "Mrs.",
        "credential": "MSN  CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "HI",
            "license": "270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serendipity, LLC
• Kristin Shaw, LMT
• Neal J Shikuma, M.D., FACC
• Dana Shimabukuro, PHARMD
• Kimberly A Shishido, PHARMD
• Dawana Maria Simpson, D.C.
• Amber Tiana Siu
• Cyd Leimomi Smith
• Terry Glen Smith, MD
• Madeline Sofranac

• Pediatric Nurse Practitioner in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Pediatric Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.