Individual provider Active NPI

Shaina Allensworth, FNP-C

  • Family Nurse Practitioner
  • Bryn Mawr, PA
National Provider Identifier
1760140396
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024957 Issued in PA
Practice address
1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone
(877) 993-4321
NPI assigned
Dec 1, 2021
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024957 PA Primary

Addresses

Primary practice location

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616

Mailing address

1181 Freedom Rd
Cranberry Township, PA 16066-4913
Phone (724) 742-1888

Other practice location 1

1181 Freedom Rd
Cranberry Township, PA 16066-4913
Phone (724) 742-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT, FL, DC, VA, NJ6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20220405000570 PA Practitioner - Nurse Practitioner 2769878503 Reassigns benefits to 2 organizations
I20250219001485 CT Practitioner - Nurse Practitioner 2769878503 Reassigns benefits to 1 organization
I20250318001866 FL Practitioner - Nurse Practitioner 2769878503 Reassigns benefits to 1 organization
I20250318002820 DC Practitioner - Nurse Practitioner 2769878503 Reassigns benefits to 2 organizations
I20250326000917 VA Practitioner - Nurse Practitioner 2769878503 Reassigns benefits to 1 organization
I20250513000202 NJ Practitioner - Nurse Practitioner 2769878503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1005 Beaver Grade Rd
Suite 105
Moon Township, PA 15108-2964
Phone (877) 448-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14270CTMDClinical Social Worker
SP024957PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince May 5, 2025 Accepting new patients
MC Medical Group of DC, PC Family CurrentSince Apr 15, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Mar 7, 2025 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jun 1, 2024 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Nov 25, 2022 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Feb 13, 2025 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Mar 7, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jun 1, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

320 40th St NE
Washington, DC 20019
Phone (202) 236-1840

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 495-3113

12280 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 273-3284

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-1177

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

937 E Haverford Rd
Ste 102
Bryn Mawr, PA 19010

875 Poplar Church Rd
Ste 340
Camp Hill, PA 17011
Phone (717) 303-3588

1181 Freedom Rd
Cranberry Twp, PA 16066
Phone (724) 742-1888

491 Allendale Rd
Ste 106
Kng of Prussa, PA 19406
Phone (610) 265-2611

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

5703 Steubenville Pike
Mc Kees Rocks, PA 15136
Phone (412) 788-4676

1005 Beaver Grade Rd
Ste 105
Moon Township, PA 15108

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1760140396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 FREEDOM RD",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160664913",
            "telephone_number": "724-742-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 E LANCASTER AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102616",
            "telephone_number": "877-993-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1181 Freedom Rd",
            "address_purpose": "LOCATION",
            "city": "Cranberry Township",
            "state": "PA",
            "postal_code": "160664913",
            "country_code": "US",
            "telephone_number": "724-742-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLENSWORTH",
        "first_name": "SHAINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.