Shannon England, APRN

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

40543 Issued in KY

Practice address

13802 Lake Point Cir
#102
Louisville, KY 40223-4219

Phone

(502) 245-4450

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

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 and National Provider Directory roles.

• Skin Group PLLC

  • MOHS-Micrographic Surgery Physician
  • Louisville, KY
  • NPI 1366564494
  Medicare reassignment NPD
• Skin Group PLLC

  • Dermatopathology Physician
  • Louisville, KY
  • NPI 1013925106
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1851665038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 STONEMILL DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015542",
            "telephone_number": "270-272-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 LAKE POINT CIR",
            "address_2": "#102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234219",
            "telephone_number": "502-245-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLAND",
        "first_name": "SHANNON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "40543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Engilman Orthodontics - Jefferson
• Engilman Orthodontics PLLC
• Brenna N England, LCADC
• Deborah J England, APRN, FNP-BC
• Sarah England
• Frances E Englander, LPAT, ATR-BC, LCSW
• Brittany L Engle
• Jacquelynn Engle
• Jill A Engle, CPSY
• Shannon Engle

• Dermatology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.