Katie Lou Shouppe, MSN,ARNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9350266 Issued in FL

Practice address

436 Airport Rd Ste 20
Arden, NC 28704-8403

Phone

(407) 200-2352

NPI assigned

Jun 22, 2017

Last updated

Aug 13, 2024By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC, KS3 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 3

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health First Home Care Home health agency, Melbourne, FL, CCN 107233
• Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
• Viera Hospital Hospital, Melbourne, FL, CCN 100315
• Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
• Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: katie.shouppe.2@8042.direct.athenahealth.com

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  Medicare reassignment Care Compare group NPD
• Atlantic Orthopaedic Group PA

  • Specialist
  • Melbourne, FL
  • NPI 1841293859
  Medicare reassignment NPD
• Shawnee Mission Medical Center, Inc.

  dba AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Shawnee, KS
  • NPI 1942317854

  Family Medicine

  Medicare reassignment NPD
• Ohana Family Practice LLC

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1366210973
  NPD Authorized official
• Shawnee Mission Medical Center, Inc.

  dba AdventHealth Imaging Center Roeland Park

  • Radiology Clinic/Center
  • Roeland Park, KS
  • NPI 1578178521
  NPD

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

• Cape Canaveral Hospital, Inc.

  • General Acute Care Hospital
  • Cocoa Beach, FL
  • NPI 1184691610
  Care Compare affiliation
• Cape Canaveral Hospital, Inc.

  dba Health First Home Care

  • Home Health Agency
  • Melbourne, FL
  • NPI 1922006956
  Care Compare affiliation
• Holmes Regional Medical Center, Inc

  dba Palm Bay Hospital

  • General Acute Care Hospital
  • Palm Bay, FL
  • NPI 1386940823
  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  dba First Flight

  • Air Ambulance
  • Melbourne, FL
  • NPI 1235312281

  Hospital

  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1295702728
  Care Compare affiliation
• Viera Hospital Inc

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1730494816
  Care Compare affiliation

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1841710670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 MEDICAL PARK DR STE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013235",
            "telephone_number": "321-768-9914",
            "fax_number": "321-768-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 AIRPORT RD STE 20",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048403",
            "telephone_number": "407-200-2352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-725-4505",
            "fax_number": "321-951-7408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1341 Medical Park Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013235",
            "country_code": "US",
            "telephone_number": "321-768-9914",
            "fax_number": "321-768-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOUPPE",
        "first_name": "KATIE",
        "middle_name": "LOU",
        "credential": "MSN,ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9350266",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015728",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9350266",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5015728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Fender Sheppard
• Cynthia Sherrill-Ward, BA
• Carol S Shimberg, RD
• Michelle Maggie Shnayder-Adams, MD, MPH
• Dove Shoneman, L.A.C
• Siegel Chiropractic, Inc (Siegel Chiropractic and Massage)
• Clayton Drew Siegel, BS DC
• Simplyhome, LLC
• Simplyhome, LLC
• Jacob Sitton

• Family Nurse Practitioner in Arden, NC
• Providers in Arden, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
• 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.