Shannon Renee Vujinovic, CRDH, BASDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH24727 Issued in FL

Practice address

12123 Little Rd
Hudson, FL 34667-2924

Phone

(727) 379-9250

NPI assigned

Mar 28, 2021

Last updated

Mar 28, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1386221976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 STRADA LN APT 203",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555093",
            "telephone_number": "727-656-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 LITTLE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672924",
            "telephone_number": "727-379-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUJINOVIC",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CRDH, BASDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH24727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur L Verga, MD
• Rachel Lynn Verscharen, PT, DPT
• Lisabeth Viera
• Jacob Vilker, DO
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• Hector Vydas
• Michael J Wahl, M.D.
• Rachel Marie Waite, RN
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5266)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-5266)

• Dental Hygienist in Hudson, FL
• Providers in Hudson, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.