Shawnte Renee Gregg, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP9774 Issued in AZ

Practice address

4688 W Tangerine Rd Apt 12208
Marana, AZ 85658-4890

Phone

(765) 215-7332

NPI assigned

Sep 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Union Healthcare Services Inc

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1013549468
  NPD
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD (past)
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1376349316
  NPD (past)
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1912080060
  NPD (past)
• The Little Clinic of Indiana LLC

  • Family Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1811922792
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629265483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 W TANGERINE RD APT 12208",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856584890",
            "telephone_number": "765-215-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4688 W TANGERINE RD APT 12208",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856584890",
            "telephone_number": "765-215-7332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 S Walnut St",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473022333",
            "country_code": "US",
            "telephone_number": "765-286-7000",
            "fax_number": "765-213-2769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGG",
        "first_name": "SHAWNTE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002489A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9774",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002489A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200875520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gladden Farms Chiropractic PLLC
• Lauri Wyrick Glasshoff, M.S., CCC-SLP
• Zandra Goldstein
• Good Health Medical, PLLC
• Grant D. Walton DMD, Ms, PC
• Ilynn Gruss, NURSE PRACTITIONER
• Patricia Gulli Barbier, LISAC
• Victoria Guzman-Grass
• Andrea Hale
• Sandra Hambacher, SLP

• Family Nurse Practitioner in Marana, AZ
• Providers in Marana, AZ by specialty
• Family Nurse Practitioner in Arizona

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