Individual provider Active NPI

Katherine Delia Shue-McGuffin, DNP, MSN, FNP-C

  • Family Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1174994883
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008103 Issued in NC
Practice address
2020 Ashcraft Ave
Monroe, NC 28110-3720
Phone
(704) 289-4511
NPI assigned
Oct 8, 2015
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 5008103 NC
Family Nurse Practitioner 363LF0000X 5008103 NC Primary

Addresses

Primary practice location

2020 Ashcraft Ave
Monroe, NC 28110-3720

Mailing address

2020 Ashcraft Ave
Monroe, NC 28110-3720
Phone (704) 289-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
5008103NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Disc Associates, P.C. CurrentSince Jan 18, 2021 Accepting new patients

Locations

15720 Brixham Hill Ave
Ste 130
Charlotte, NC 28277
Phone (704) 541-5555

Organizations & group practices 1

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1174994883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ASHCRAFT AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103720",
            "telephone_number": "704-289-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ASHCRAFT AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103720",
            "telephone_number": "704-289-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUE-MCGUFFIN",
        "first_name": "KATHERINE",
        "middle_name": "DELIA",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008103",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.