Shawna Green Kuhn, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

02004861A Issued in IN

Practice address

633D Medical Group
77 Nealy Avenue
Joint Base Langley-Eustis, VA 23665

Phone

(757) 225-7630

NPI assigned

Jun 21, 2006

Last updated

Jul 21, 2022By 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

Other identifiers 1

Other names 1

• Shawna Green Defranco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Nurse Practitioner

State licenses

Practice roles

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.

• State of Michigan Office of Financial Management

  dba State of Michigan

  • Psychiatric Hospital
  • Westland, MI
  • NPI 1508883299
  NPD
• Emergency Physicians of Nashville, PLLC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1982650909
  NPD (past)
• Emergency Services Network, PLLC.

  • Emergency Medicine Physician
  • Clarksville, TN
  • NPI 1902852007
  NPD (past)
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831135623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633D MEDICAL GROUP",
            "address_2": "77 NEALY AVENUE",
            "city": "JOINT BASE LANGLEY-EUSTIS",
            "state": "VA",
            "postal_code": "23665",
            "telephone_number": "757-225-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633D MEDICAL GROUP",
            "address_2": "77 NEALY AVENUE",
            "city": "JOINT BASE LANGLEY-EUSTIS",
            "state": "VA",
            "postal_code": "23665",
            "telephone_number": "757-225-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHN",
        "first_name": "SHAWNA",
        "middle_name": "GREEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "02004861A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3929566",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "DEFRANCO",
            "middle_name": "GREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Desilets
• Keith Duron, CRDH
• James F Forrest, OD
• Oliver Gentile, M.D.
• Mary Iskarous, PSY.D.
• Katherine M McCroary, MD
• Kimberly R Moser, PMHNP
• Sean Lee Murphy, MD
• Jesse Nichols, DO
• Denise Nielson, SLP

• General Practice Physician in Joint Base Langley-Eustis, VA
• Providers in Joint Base Langley-Eustis, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.