Shaina Marie Seaborne

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3018173 Issued in KY

Practice address

106 Winston Way
Campbellsville, KY 42718-4953

Phone

(270) 789-0034

NPI assigned

Jun 7, 2022

Last updated

Oct 19, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Merit-based Incentive Payment System (MIPS)

Final score

69.66 of 100Reported as group

Quality

39.23

Promoting interoperability

99

Improvement activities

40

Cost

43.79

Merit-based Incentive Payment System (MIPS)

Final score

92.9 of 100Reported as group

Quality

85.93

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• One Cross Community, Inc.

  • Federally Qualified Health Center (FQHC)
  • Campbellsville, KY
  • NPI 1447710314
  Medicare reassignment NPD
• One Cross Health Clinic Inc

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1942606454
  Medicare reassignment NPD
• One Cross Community, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lebanon, KY
  • NPI 1215404082
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1851020648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WINSTON WAY",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184953",
            "telephone_number": "270-789-0034",
            "fax_number": "270-789-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WINSTON WAY",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184953",
            "telephone_number": "270-789-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABORNE",
        "first_name": "SHAINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018173",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100856630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katosha Nicole Russell, MSN, APRN, FNP-BC.
• Kyle Bryan Salsbury, P.T.
• Kaitlyn Sanfilippo, MA, ATC, LAT
• Kelly Sauerwein
• Blasia Marie Schlieker
• Sierra Seaborne
• Seasons of Life Therapy, LLC
• Summer Sebastian
• Joseph William Segree, OD
• Seniors Choice Assisted Living, LLC

• Family Nurse Practitioner in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.