Shauna Kranendonk LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME84713 Issued in FL

Legal business name

SHAUNA KRANENDONK LLC

Doing business as

Skye Center for Dermatology

Practice address

224 Chimney Corner Lane
Suite#3002
Jupiter, FL 33458

Phone

(561) 820-0155

Fax

(561) 691-3281

NPI assigned

Jul 25, 2006

Last updated

Dec 10, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

SHAUNA KRANENDONK, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Shauna Kay Kranendonk, MDNPI 1659316867

Title

Physician

Phone

(561) 820-0155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skye Center for Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Shauna Kranendonk LLC

Locations

Practitioners 5

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.

• Shauna K Kranendonk, M.D.

  • Procedural Dermatology Physician
  • Jupiter, FL
  • NPI 1659316867
  Medicare reassignment Care Compare group NPD Authorized official
• John C Perrotto, D.O.

  • Dermatology Physician
  • Atlantic Beach, FL
  • NPI 1659538809
  Medicare reassignment Care Compare group NPD
• Patrick Zito, D.O., PHARM.D.

  • MOHS-Micrographic Surgery Physician
  • Miami, FL
  • NPI 1689052748
  Medicare reassignment Care Compare group NPD
• Heather L Zakian, PA-C

  • Physician Assistant
  • Jupiter, FL
  • NPI 1356648844
  Medicare reassignment Care Compare group
• Thomas H. Cahn, M.D.

  • Dermatology Physician
  • Jupiter, FL
  • NPI 1306828843
  Medicare reassignment NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1710900600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CHIMNEY CORNER LANE",
            "address_2": "SUITE#3002",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "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 LANE",
            "address_2": "SUITE#3002",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-820-0155",
            "fax_number": "561-691-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA KRANENDONK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAUNA KRANENDONK, LLC",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "KRANENDONK",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-820-0155",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME84713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659316867",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skye Center for Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tapan Shah, PHARM. D.
• Henry J Shapiro, MD
• Jennifer Shapiro, APRN
• Vijay M Sharma, MD
• Sharon Vitale PA (Mobile Wound and Skin Practitioners)
• David Shaw
• Anthony Shaya, MD
• Irina Shchepina, APRN
• John Shea
• Rachel Shea, L.M.T.

• Procedural Dermatology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.