Shauna Marie Segerdahl, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

10028861 Issued in OR

Practice address

11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6061

Phone

(503) 522-9119

NPI assigned

Dec 29, 2023

Last updated

Sep 3, 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 1

Addresses

Other names 1

• Shauna Marie Verboort Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4
• Direct secure messaging: shauna.segerdahl.1@14294.direct.athenahealth.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.

• Arizona OB GYN Affiliates PC

  • Specialist
  • Phoenix, AZ
  • NPI 1750589404
  Medicare reassignment Care Compare group NPD
• Genesis OB GYN PLLC

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
  • NPI 1992994214
  Medicare reassignment NPD
• Camelback Womens Health, PC

  dba Camelback Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1447378518
  NPD

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1295504439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286061",
            "telephone_number": "503-522-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286061",
            "telephone_number": "503-522-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGERDAHL",
        "first_name": "SHAUNA",
        "middle_name": "MARIE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "10028861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "VERBOORT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shabari Sanat Seetharam, M.D.
• Brian Seeto, MD
• Lynsey Segal, PHARM D
• Natalie Anne Segal, AUD
• Roland Segal, M.D.
• Madhuri Segireddy, MD
• Erika Sego, PHARM.D.
• Miranda Emmanuel Segovia, MS
• Rico Andrew Segun, ACNP
• Jessica L Segura Guerrero, FNP

• Women's Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
• 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.

Verify at the official NPI Registry.