Individual provider Active NPI

La-Shunn Doggette, ACNP-BC

  • Acute Care Nurse Practitioner
  • Peachtree City, GA
National Provider Identifier
1427066273
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11002026 Issued in FL
Practice address
3200 Shakerag HL
Suite a
Peachtree City, GA 30269-6524
Phone
(770) 408-0184
Fax
(770) 632-7747
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11002026 FL Primary
Acute Care Nurse Practitioner 363LA2100X RN116950 GA

Addresses

Primary practice location

3200 Shakerag HL
Suite a
Peachtree City, GA 30269-6524

Mailing address

4310 S Florida Ave
Lakeland, FL 33813-1631
Phone (863) 606-5937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20191003002270 FL Practitioner - Nurse Practitioner 2668605049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Spinal Stenosis and Neurologic Care LLCGroup PAC ID 0648431866, 3 clinicians

Practice addresses (Care Compare)

4310 S Florida Ave
Lakeland, FL 33813-1631
Phone (863) 606-5937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.75 of 100Reported as group
Quality
91.27
Promoting interoperability
77
Improvement activities
40
Cost
70.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN116950GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Spinal Stenosis & Neurologic Care LLC CurrentSince Sep 4, 2019 Accepting new patients

Locations

4310 S Florida Ave
Lakeland, FL 33813
Phone (863) 606-5937

950 1st St S
Ste 202
Winter Haven, FL 33880
Phone (863) 293-7778

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1427066273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131631",
            "telephone_number": "863-606-5937",
            "fax_number": "863-606-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SHAKERAG HL",
            "address_2": "SUITE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696524",
            "telephone_number": "770-408-0184",
            "fax_number": "770-632-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGGETTE",
        "first_name": "LA-SHUNN",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11002026",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN116950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.