Active NPI
Shannon Nicole Layton, PA-C
- Physician Assistant
- Lafayette, IN
National Provider Identifier
1376978692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001923A
- Practice address
- 5165 McCarty LN
Lafayette, IN 47905-8764 - Phone
- (765) 448-8000
- Fax
- (317) 838-4751
- NPI assigned
- Sep 5, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002405 | IA | |
| Physician Assistant | 363A00000X | 10001923A | IN | Primary |
Addresses
Primary practice location
5165 McCarty LN
Lafayette, IN 47905-8764
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 421-6610
Other names 1
- Shannon Nicole Scruggs
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shannonnlay@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5239 | TN | MD | Occupational Therapist |
| 10001923A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Interoperability endpoints
- shannonnlay@direct.iuhealth.org
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Emergency Medicine Physician
- Lafayette, IN
- NPI 1861447211
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
IN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1376978692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 MCCARTY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479058764",
"telephone_number": "765-448-8000",
"fax_number": "317-838-4751"
}
],
"practiceLocations": [
{
"address_1": "1227 E Rusholme St",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "52803",
"country_code": "US",
"telephone_number": "563-421-6610",
"fax_number": "563-421-7719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAYTON",
"first_name": "SHANNON",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "002405",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001923A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shannonnlay@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5165 McCarty Ln",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479058764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "SCRUGGS",
"middle_name": "NICOLE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.