Shannon E West-Buxton, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

169646 Issued in MA

Practice address

15 Vreeland Ave
East Longmeadow, MA 01028-1631

Phone

(413) 787-2555

Fax

(413) 787-9992

NPI assigned

Oct 2, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Redwood Pediatric and Adolescent Medicine, LLC

  • Pediatrics Physician
  • E Longmeadow, MA
  • NPI 1750302881
  NPD (past)

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1407843709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VREELAND AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281631",
            "telephone_number": "413-787-2555",
            "fax_number": "413-787-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VREELAND AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281631",
            "telephone_number": "413-787-2555",
            "fax_number": "413-787-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST-BUXTON",
        "first_name": "SHANNON",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "169646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391981",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• June Watts, LPC
• Lynne M Weidl, PT
• Welcoming Safe Space Therapeutic Services, Inc.
• Priscilla Seibles Weldon, LMHC, LPC
• Wellness Within LLC
• Western Massachusetts Podiatry Associates, P.C.
• Delaney Ann Whitehead, ATC
• Megan L Wiedler, DPT
• Birnie Edward Williams II, MSW, LICSW, LCSW
• Izabella Wolanski, P.T.A.

• Pediatric Nurse Practitioner in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.