Individual provider Active NPI

Shauna Norton, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Nikiski, AK
National Provider Identifier
1629249693
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1215 Issued in AK
Practice address
51708 Kenai Spur Hwy # B-7594
Nikiski, AK 99635-9800
Phone
(907) 782-4544
Fax
(877) 253-6065
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 368339-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NURU1215 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1215 AK Primary

Addresses

Primary practice location

51708 Kenai Spur Hwy # B-7594
Nikiski, AK 99635-9800

Mailing address

PO Box 7594
Nikiski, AK 99635-7594
Phone (907) 782-4544

Other identifiers 1

IdentifierTypeStateIssuer
1174953087OtherGROUP NPI

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
1215AKMDOrthodontics and Dentofacial Orthopedic Dentist
NURU1215AKMDPsychiatric/Mental Health Nurse Practitioner
368339-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shauna Norton, Anp, LLC Psychiatric/Mental Health CurrentSince Oct 4, 2020 Accepting new patients
Greatland Mental Health, LLC Past Accepting new patients

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1629249693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7594",
            "city": "NIKISKI",
            "state": "AK",
            "postal_code": "996357594",
            "telephone_number": "907-782-4544",
            "fax_number": "877-253-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51708 KENAI SPUR HWY # B-7594",
            "city": "NIKISKI",
            "state": "AK",
            "postal_code": "996359800",
            "telephone_number": "907-782-4544",
            "fax_number": "877-253-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTON",
        "first_name": "SHAUNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "368339-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "NURU1215",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1174953087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nikiski, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.