Organization Active NPI

Shungo Care

  • Adult Health Nurse Practitioner
  • Schererville, IN
National Provider Identifier
1679161442
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 RNNPI 1215701982
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20250707003614 IN Part B Supplier - Clinic/Group Practice 2567976186 Receives reassigned benefits from 1 practitioner
Practice locations: Schererville, IN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.