Individual provider Active NPI

Shanell Saunders, NP

  • Family Nurse Practitioner
  • Taunton, MA
National Provider Identifier
1801618095
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2330374 Issued in MA
Practice address
1 Washington St Ste 140
Taunton, MA 02780-3960
Phone
(508) 822-5500
NPI assigned
Oct 29, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 RN2330374 MA Primary

Addresses

Primary practice location

1 Washington St Ste 140
Taunton, MA 02780-3960

Mailing address

110 W Squantum St Ste 8
North Quincy, MA 02171-2158
Phone (617) 376-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250212003054 MA Practitioner - Nurse Practitioner 9032649579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 W Squantum St
Quincy, MA 02171-2122
Phone (617) 376-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2330374MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manet Community Health Center, Inc. CurrentSince Dec 18, 2024 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Dec 18, 2024 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Dec 22, 2024 Accepting new patients
Manet Community Health Center, Inc. CurrentSince Nov 3, 2024 Accepting new patients
Manet Community Health Center, Inc. PastSince Dec 22, 2024 Accepting new patients
Manet Community Health Center, Inc. Past Accepting new patients

Locations

8 N Main St
Attleboro, MA 02703
Phone (508) 205-4600

180 George Washington Blvd
Hull, MA 02045
Phone (781) 925-4550

110 W Squantum St
Quincy, MA 02171
Phone (617) 376-3000

110 W Squantum St
Ste 8
Quincy, MA 02171
Phone (617) 376-3000

1193 Sea St
Quincy, MA 02169
Phone (617) 471-8683

9 Bicknell St
Quincy, MA 02169
Phone (617) 471-4715

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

1 Washington St
Ste 140
Taunton, MA 02780
Phone (508) 822-5500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shanell.saunders.1@4368.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1801618095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST STE 8",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712158",
            "telephone_number": "617-376-3000",
            "fax_number": "617-774-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST STE 140",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803960",
            "telephone_number": "508-822-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "SHANELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2330374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.