Active NPI
Jennifer Hendrix Shuping, PAC
- Physician Assistant
- Waynesville, NC
National Provider Identifier
1215966700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101981
- Practice address
- 627 N Main St
Waynesville, NC 28786-3819 - Phone
- (828) 456-2784
- Fax
- (828) 456-8903
- NPI assigned
- Jun 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101981 | NC | Primary |
Addresses
Primary practice location
627 N Main St
Waynesville, NC 28786-3819
Mailing address
94 Royal Crest HTS
Waynesville, NC 28786-2044
Phone (828) 456-4231
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2593 | Other | NC | MEDCOST |
| 0102081 | Other | NC | UNITED HEALTH CARE |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101981 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Indian Hospital Authority | Past | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients |
Interoperability endpoints
- jennifer.shuping.1@17582.direct.athenahealth.com
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)
- Cherokee, NC
- NPI 1588840318
-
- General Acute Care Hospital
- Cherokee, NC
- NPI 1770662348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1215966700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 ROYAL CREST HTS",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287862044",
"telephone_number": "828-456-4231",
"fax_number": "828-454-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 N MAIN ST",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287863819",
"telephone_number": "828-456-2784",
"fax_number": "828-456-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUPING",
"first_name": "JENNIFER",
"middle_name": "HENDRIX",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C2593",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0102081",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.