Shauna Jean Vance, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

238.000721 Issued in IL

Practice address

2725 Technology Dr
Lombard, IL 60148-5675

Phone

(630) 348-3300

Fax

(630) 572-0418

NPI assigned

Jul 29, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: svance233775@direct.edward.org

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1790458289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 TECHNOLOGY DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485675",
            "telephone_number": "630-348-3300",
            "fax_number": "630-572-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "SHAUNA",
        "middle_name": "JEAN",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238.000721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svance233775@direct.edward.org",
            "affiliation": "N",
            "address_1": "2725 Technology Dr",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601485675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Asha Banu Uthumankani Kaja Mohideen, BCBA
• Mariana Valdes
• Maria R Valdez, LCPC
• Erin Valentino, P.A.
• Rebecca Van Landuyt
• Alyssa Marie Vanderah
• Abigail Vannatter
• Aleksandra Vargas, FNP-BC
• Jesus Alberto Vargas, OTR/L
• Francesca L Varias

• Surgical Assistant in Lombard, IL
• Providers in Lombard, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.