Shauntara Ann Angelo, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP018809 Issued in PA

Practice address

361 Alexander Spring Rd
Carlisle, PA 17015-6940

Phone

(717) 960-3414

NPI assigned

Jun 1, 2018

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sangelo280326@upmc.direct-ci.com

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.

• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427

  Pediatrics

  Medicare reassignment NPD

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1225520661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 ALEXANDER SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156940",
            "telephone_number": "717-960-1687",
            "fax_number": "717-960-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 ALEXANDER SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156940",
            "telephone_number": "717-960-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Harrisburg Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012644",
            "country_code": "US",
            "telephone_number": "717-291-5931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Willow Valley Lakes Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Willow Street",
            "state": "PA",
            "postal_code": "175849671",
            "country_code": "US",
            "telephone_number": "717-291-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "SHAUNTARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP018809",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "SP018809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE",
            "identifier": "SP018809",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sangelo200888@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "361 Alexander Spring Rd",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170156940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Paul Andrews, PHD
• David Barwood Andrews, RN
• Margery D Andrews, M.ED.
• Paul Andriukaitis
• Jamie J Andy, MPT
• Anne T. Leedy (Leedy Counseling Services)
• Anthony J Guarracin, D.O. LLC
• Appalachian Counseling LLC
• Appalachian Orthopedic Center, LTD
• Thomas E Appleby, DMD

• Pediatric Nurse Practitioner in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.