Individual provider Active NPI

Shauna McKeon, APRN

  • Adult Health Nurse Practitioner
  • Vergennes, VT
National Provider Identifier
1104145069
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
101.0108269 Issued in VT
Practice address
1 Alden PL
Vergennes, VT 05491-1102
Phone
(802) 222-5201
Fax
(802) 877-0012
NPI assigned
May 18, 2010
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101.0108269 VT
Adult Health Nurse Practitioner 363LA2200X 101.0108269 VT Primary

Addresses

Primary practice location

1 Alden PL
Vergennes, VT 05491-1102

Mailing address

1 Alden PL
Vergennes, VT 05491-1102
Phone (802) 222-5201

Other practice location 1

655 Main St Ste 2
Bennington, VT 05201-2871
Phone (833) 952-0829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20190827001209 VT Practitioner - Nurse Practitioner 2365566833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Vermont College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savida Health PCGroup PAC ID 4082809967, 89 clinicians

Practice addresses (Care Compare)

214 Main St
Vergennes, VT 05491-1157
Phone (833) 952-0829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Savida Health, PC CurrentSince Aug 1, 2019 Accepting new patients
Savida Health, PC CurrentSince Aug 1, 2019 Accepting new patients
Savida Health, PC Past Accepting new patients

Locations

655 Main St
Ste 2
Bennington, VT 05201
Phone (802) 448-5105

79 Coventry St
Newport, VT 05855
Phone (802) 334-5822

17 Catherine St
Saint Albans, VT 05478
Phone (802) 524-8809

366 Dorset St
Ste 20
South Burlington, VT 05403
Phone (802) 448-5072

368 River St
Ste 160
Springfield, VT 05156
Phone (802) 231-4486

Interoperability endpoints

  • Direct secure messaging: shauna.mckeon.1@18057.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1104145069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALDEN PL",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911102",
            "telephone_number": "802-222-5201",
            "fax_number": "802-877-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALDEN PL",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911102",
            "telephone_number": "802-222-5201",
            "fax_number": "802-877-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052012871",
            "country_code": "US",
            "telephone_number": "833-952-0829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "SHAUNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0108269",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0108269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vergennes, VT

Sources for this page

Verify at the official NPI Registry.