Active NPI
Shungo Care
- Adult Health Nurse Practitioner
- Schererville, IN
National Provider Identifier
1679161442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- SHUNGO CARE
- Practice address
- 16 E US Highway 30
Schererville, IN 46375-2105 - Phone
- (219) 515-6182
- NPI assigned
- Jan 6, 2021
- Last updated
- Jul 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Ayanna D Washington, ADVANCED PRACTICE RN
- Title
- Director
- Phone
- (219) 515-6182
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NU | Primary |
Addresses
Primary practice location
16 E US Highway 30
Schererville, IN 46375-2105
Mailing address
273 Milburn Ave
Crete, IL 60417-2312
Phone (219) 515-6182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16 E US Highway 30
Schererville, IN 46375
Phone (219) 515-6182
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gerontology Nurse Practitioner
- Schererville, IN
- NPI 1215701982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1679161442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 MILBURN AVE",
"city": "CRETE",
"state": "IL",
"postal_code": "604172312",
"telephone_number": "219-515-6182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E US HIGHWAY 30",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463752105",
"telephone_number": "219-515-6182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHUNGO CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-06",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "AYANNA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "219-515-6182",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "ADVANCED PRACTICE RN"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.