Shauna McKeon, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Vergennes, VT
NPI 1104145069 · NPPES record last updated Jul 30, 2019
Key facts
- NPI
- 1104145069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 101.0108269 (VT)
- Practice address
- 1 Alden PL
Vergennes, VT 05491-1102 - Phone
- (802) 222-5201
- Fax
- (802) 877-0012
- NPI assigned
- May 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
214 Main St
Vergennes, VT 05491-1157
Phone (833) 952-0829
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827001209 | VT | Practitioner - Nurse Practitioner | 2365566833 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0108269 | VT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savida Health, PC | Current |
Accepting new patients | |
| Savida Health, PC | Current |
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
- shauna.mckeon.1@18057.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 101.0108269 | VT | |
| Adult Health Nurse Practitioner | 363LA2200X | 101.0108269 | VT | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104145069 | Other | NPI |
Other providers in Vergennes, VT
- Little City Speech and Language, PLC
- Long Trail on the Falls Physical Therapy PC
- Jill Marie Lowrey
- Gregory Charles Maurer
- Ronald Alan McConnell
- Leila Menard McVeigh
- Erin O'Brien
- Oas, LLC
- Joel E Palmer
- Kimberly O'Boyle Palmer
All providers in Vergennes, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.