Shawna Marie Poulter, RN, FA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

28168418A Issued in IN

Practice address

1850 State St
New Albany, IN 47150-4990

Phone

(812) 948-7417

NPI assigned

Aug 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• FMMG LLC

  • Family Medicine Physician
  • New Albany, IN
  • NPI 1184912370
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1215337415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890631",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890631",
            "telephone_number": "812-949-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504990",
            "telephone_number": "812-948-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULTER",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, FA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IN",
            "license": "28168418A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey H Polley, PNP, MSN, RN
• Pope, Croft, McKain & Fisher, Inc.
• Mark Christian Portaro, P.T.
• Melanie Annette Posch, OTR/L, CLT
• Garry Lee Posey Jr., RN
• Precision Health Chiropractic LLC
• Preferred Cardiology of Kentuckiana LLC
• Deanna Robinson Prellwitz
• Premier Cardiology LLC
• Erika Prescott, OTR/L

• Registered Nurse First Assistant in New Albany, IN
• Providers in New Albany, IN by specialty
• Registered Nurse First Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.