Jennifer M Shuart

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JENNIFER M SHUART

Practice address

131 Main St Unit B
Epping, NH 03042-2405

Phone

(617) 283-3305

Fax

(603) 218-6990

NPI assigned

Nov 24, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer M Shuart, MSW, APRNNPI 1790980746

Title

Owner

Phone

(617) 283-3305

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• STEPPING STONES TO WELL BEING, LLC Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer M Shuart, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Epping, NH
  • NPI 1790980746

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1093472078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST UNIT B",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030422405",
            "telephone_number": "617-283-3305",
            "fax_number": "603-218-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST UNIT B",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030422405",
            "telephone_number": "617-283-3305",
            "fax_number": "603-218-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M SHUART",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "SHUART",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-283-3305",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, APRN"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114987",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.therapysquarenh.com",
            "affiliation": "N",
            "address_1": "131 Main St Unit B",
            "city": "Epping",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030422405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "STEPPING STONES TO WELL BEING, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Epping, NH
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.