Active NPI
Shauna M Deschamps, APRN
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1093252058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9294904
- Practice address
- 3100 E Fletcher Ave Ste 126
Tampa, FL 33613-4613 - Phone
- (813) 467-4770
- Fax
- (813) 467-4243
- NPI assigned
- Jan 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9294904 | FL | Primary |
Addresses
Primary practice location
3100 E Fletcher Ave Ste 126
Tampa, FL 33613-4613
Mailing address
13540 17TH St
Dade City, FL 33525-5244
Phone (352) 437-3107
Other practice location 1
13540 17th St
Dade City, FL 33525-5244
Phone (352) 437-3107
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020056900 | Medicaid | FL | |
| APRN9294904 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
| F1116401 | Other | FL | AANP NATIONAL CERTIFICATION |
Other names 1
- Shauna M Deschamps
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9294904 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Munchkins Pediatrics, LLC. | Family | Current | Accepting new patients |
Locations
13540 17th St
Dade City, FL 33525
Phone (352) 437-3107
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
3100 E Fletcher Ave
Ste 126
Tampa, FL 33613
Phone (813) 467-4242
Interoperability endpoints
- sdeschamps5125606@adventhealth.direct-ci.com
- shauna.deschamps.2@19558.direct.athenahealth.com
- https://api.platform.athenahealth.com/19558/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
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- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1093252058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13540 17TH ST",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255244",
"telephone_number": "352-437-3107",
"fax_number": "352-437-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E FLETCHER AVE STE 126",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134613",
"telephone_number": "813-467-4770",
"fax_number": "813-467-4243"
}
],
"practiceLocations": [
{
"address_1": "13540 17th St",
"address_purpose": "LOCATION",
"city": "Dade City",
"state": "FL",
"postal_code": "335255244",
"country_code": "US",
"telephone_number": "352-437-3107",
"fax_number": "352-437-3120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESCHAMPS",
"first_name": "SHAUNA",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9294904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020056900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "APRN9294904",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP NATIONAL CERTIFICATION",
"identifier": "F1116401",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAUNA",
"last_name": "DESCHAMPS",
"middle_name": "M",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.