Individual provider Active NPI

Karen G Shauger, CRNP

  • Family Nurse Practitioner
  • Wynnewood, PA
National Provider Identifier
1609842160
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP004205B Issued in PA
Practice address
306 E Lancaster Ave Ste 400
Wynnewood, PA 19096-2105
Phone
(484) 476-7222
Fax
(484) 476-7853
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP004205B PA Primary

Addresses

Primary practice location

306 E Lancaster Ave Ste 400
Wynnewood, PA 19096-2105

Mailing address

306 E Lancaster Ave Ste 400
Wynnewood, PA 19096-2105
Phone (484) 476-7222

Other practice location 1

306 E Lancaster Ave Fl 4
Wynnewood, PA 19096-2105
Phone (484) 476-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP004205BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Mar 4, 2000 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

306 E Lancaster Ave
Ste 400
Wynnewood, PA 19096
Phone (484) 476-7222

306 E Lancaster Ave
Fl 4
Wynnewood, PA 19096
Phone (484) 476-7222

300 E Lancaster Ave
Ste 304
Wynnewood, PA 19096
Phone (610) 642-2002

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1609842160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E LANCASTER AVE STE 400",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962105",
            "telephone_number": "484-476-7222",
            "fax_number": "484-476-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E LANCASTER AVE STE 400",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962105",
            "telephone_number": "484-476-7222",
            "fax_number": "484-476-7853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 E Lancaster Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190962105",
            "country_code": "US",
            "telephone_number": "484-476-7222",
            "fax_number": "484-476-7853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAUGER",
        "first_name": "KAREN",
        "middle_name": "G",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP004205B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.