Katelyn Shutt, MSN, RN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP022245 Issued in PA

Practice address

2355 Red Bank Rd
Dover, PA 17315-1617

Phone

(717) 580-3088

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1457022394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 RED BANK RD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173151617",
            "telephone_number": "717-580-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 RED BANK RD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173151617",
            "telephone_number": "717-580-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTT",
        "first_name": "KATELYN",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry David Shapiro, D.D.S
• Tracey Ann Shearer, R.PH.
• Pamela Jean Shenberger, RN, LMT
• Jared Riley Shepler, DPT, PT
• Shurfine Pharmacy Weiglestown
• Cassandra Lynn Silimperi, RPH
• Julie Rebecca Sloat, PT, DPT
• Smith & Mason Family Practice Associates LTD
• Karen Smith, M.D.
• Larry Smith, M.D.

• Family Nurse Practitioner in Dover, PA
• Providers in Dover, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.