Individual provider Active NPI

Shawn Danielle Neyens, DNP, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1366995789
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2016025014 Issued in MO
Practice address
303 N Keene St Ste 404
Columbia, MO 65201-7193
Phone
(573) 777-7627
NPI assigned
Aug 2, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2016025014 MO Primary

Addresses

Primary practice location

303 N Keene St Ste 404
Columbia, MO 65201-7193

Mailing address

303 N Keene St Ste 404
Columbia, MO 65201-7193
Phone (573) 777-7627

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2016025014MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tiger Pediatrics LLC Past Accepting new patients

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1366995789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST STE 404",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-777-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST STE 404",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-777-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYENS",
        "first_name": "SHAWN",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2016025014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.