Individual provider Active NPI

Joan Louise Shewell, RNC WHNP

  • Women's Health Nurse Practitioner
  • Bedford, IN
National Provider Identifier
1649326067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
28048852A Issued in IN
Practice address
717 Lincoln Ave
Bedford, IN 47421-2124
Phone
(812) 279-3527
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 28048852A IN Primary

Addresses

Primary practice location

717 Lincoln Ave
Bedford, IN 47421-2124

Mailing address

3803 E Shewell LN
Salem, IN 47167-9057
Phone (812) 883-4958

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28048852AINMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649326067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 E SHEWELL LN",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471679057",
            "telephone_number": "812-883-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 LINCOLN AVE",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474212124",
            "telephone_number": "812-279-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWELL",
        "first_name": "JOAN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "RNC WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "28048852A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.