Tamara Shasteen, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209007817 Issued in IL

Practice address

3755 E Main St Ste 190
Saint Charles, IL 60174-2463

Phone

(630) 549-6245

Fax

(630) 701-9500

NPI assigned

Feb 23, 2007

Last updated

Dec 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1689709917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 E MAIN ST STE 190",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742463",
            "telephone_number": "630-549-6245",
            "fax_number": "630-701-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 E MAIN ST STE 190",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742463",
            "telephone_number": "630-549-6245",
            "fax_number": "630-701-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASTEEN",
        "first_name": "TAMARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP14669",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209007817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN619027",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tamara@theplumtree.net",
            "affiliation": "Y",
            "affiliationName": "Plum Tree Psychology LTD",
            "address_1": "3755 E Main St Ste 190",
            "city": "Saint Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601742463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Behnoosh Shahrokh, APRN, CNP
• Diane Marie Shallcross, APRN, FPA, PMHNP-BC
• Madison Sharkey, RBT
• Khushi Sharma
• Melissa Jane Sharp, PSY.D.
• Ayesha Shaukat, MD
• Timothy William Sheehan, D.D.S.
• Maryann Sheluga, PA-C
• Lindsay Sher, LCPC
• Seher Shiekh, O.D.

• Pediatric Nurse Practitioner in St Charles, IL
• Providers in St Charles, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.