Individual provider Active NPI

Shauna M Deschamps, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1093252058
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9294904 Issued in FL
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

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020056900MedicaidFL
APRN9294904OtherFLFLORIDA DEPARTMENT OF HEALTH
F1116401OtherFLAANP NATIONAL CERTIFICATION

Other names 1

  • Shauna M Deschamps Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321001819 FL Practitioner - Nurse Practitioner 0840712550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9294904FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Feb 24, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 24, 2025 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

  • Direct secure messaging: sdeschamps5125606@adventhealth.direct-ci.com
  • Direct secure messaging: shauna.deschamps.2@19558.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.