Shawna L Stallcop, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

200150091NP Issued in OR

Practice address

51600 Huntington Rd
Lapine, OR 97739

Phone

(541) 536-3435

Fax

(541) 536-8047

NPI assigned

May 17, 2006

Last updated

Oct 25, 2011By 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 1

Addresses

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1699727727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3300",
            "city": "LAPINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD",
            "city": "LAPINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLCOP",
        "first_name": "SHAWNA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200150091NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Slater, LMT
• Martin Lindsey Smart, MD
• Amy Smith Gruebert, LMT
• David Franklin Sonnier
• Sarah Danielle Sperry, PA-C
• Brice Tyler Stanley, PAC
• Sarah Maureen Stedman
• Samantha Stone
• Thomas Strickland
• Andreas Daae Stridsland, D.C.

• Nurse Practitioner in La Pine, OR
• Providers in La Pine, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.