Active NPI
Shawna Sue Reed, NP-C
- Family Nurse Practitioner
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28191877A
- Practice address
- 601 Wall St
Valparaiso, IN 46383-2512 - Phone
- (219) 476-4676
- NPI assigned
- Nov 8, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71006781B | IN | |
| Family Nurse Practitioner | 363LF0000X | 71006781A | IN | |
| Family Nurse Practitioner | 363LF0000X | 28191877A | IN | Primary |
Addresses
Primary practice location
601 Wall St
Valparaiso, IN 46383-2512
Mailing address
601 Wall St
Valparaiso, IN 46383-2512
Phone (219) 476-4676
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sreed@porterstarke.direct.smartcarenet.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Wall St
Valparaiso, IN 46383-2512
Phone (574) 772-4040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28191877A | IN | MD | Family Nurse Practitioner |
| 71006781A | IN | MD | Family Nurse Practitioner |
| 71006781B | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter-Starke Services Inc. | Current | Accepting new patients | |
| Porter-Starke Services Inc. | Current | Accepting new patients |
Locations
3229 Broadway
Ste 115
Gary, IN 46409
Phone (219) 806-3000
704 S State Road 2
Hebron, IN 46341
Phone (219) 806-3011
1001 S Edgewood Dr
Ste 1
Knox, IN 46534
Phone (574) 772-4040
3176 Lancer St
Portage, IN 46368
Phone (219) 762-7318
601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011
701 Wall St
Valparaiso, IN 46383
Phone (219) 299-8419
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valparaiso, IN
- NPI 1689627598
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1659196236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1154863199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 WALL ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832512",
"telephone_number": "219-476-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 WALL ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832512",
"telephone_number": "219-476-4676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "SHAWNA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006781B",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006781A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28191877A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sreed@porterstarke.direct.smartcarenet.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "601 Wall St",
"city": "Valparaiso",
"state": "IN",
"country_code": "US",
"postal_code": "463832512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.