Shannon Augustine

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5012130 Issued in NC

Practice address

1212 South Blvd
Charlotte, NC 28203-4215

Phone

(704) 334-8087

NPI assigned

Mar 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1508369109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 WOODGREEN TER",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282054666",
            "telephone_number": "703-389-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034215",
            "telephone_number": "704-334-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Werrington Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "27540",
            "country_code": "US",
            "telephone_number": "919-552-9952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 Sangamore Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208162508",
            "country_code": "US",
            "telephone_number": "202-684-7167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R231979",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Christian Augenstein, M.D.
• Vedra Abdomerovic Augenstein, MD
• Natacha Lauren Augustin, M.D.
• Ashley Nicole Augustine
• Deirdre Rose Augustine
• Augustus Medical PC
• Carl Trent Augustus, MD
• Shean J Aujla, M.D.
• Felicity Aul
• Lindsey Aune, NP

• Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.