Shauna K Kranendonk, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME84713 Issued in FL

Practice address

224 Chimney Corner LN
Suite # 3002
Jupiter, FL 33458-4800

Phone

(561) 820-0155

Fax

(561) 691-3281

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Medical College of Wisconsin, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shauna Kranendonk,, LLC 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Shauna Kranendonk LLC

  • Procedural Dermatology Physician
  • Jupiter, FL
  • NPI 1710900600

  FL, Procedural Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• ENT and Allergy Associates of Florida, LLC

  • Otolaryngology Physician
  • Boca Raton, FL
  • NPI 1164473120
  NPD (past)
• Harbour ENT

  • Specialist
  • Palm Beach Gardens, FL
  • NPI 1487675658
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1659316867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CHIMNEY CORNER LN",
            "address_2": "SUITE # 3002",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584800",
            "telephone_number": "561-820-0155",
            "fax_number": "561-691-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CHIMNEY CORNER LN",
            "address_2": "SUITE # 3002",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584800",
            "telephone_number": "561-820-0155",
            "fax_number": "561-691-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANENDONK",
        "first_name": "SHAUNA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME84713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY NUMBER",
            "identifier": "207NS0135Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don A Korwek, HAS
• Kathleen Ann Kosowsky, B.S., P.T.A.
• John Paul Kowalczyk, M.D.
• Aleksandra Kraeher, MD
• Scott Kramer, LMHC
• Luciana V Kremser, PA-C
• Anup Kubal, M.D.
• Mark Kubiliun, D.D.S.
• Tyler Michael Kuethman, MA
• Kulig & Associates Inc

• All providers in Jupiter, FL
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.