Shauna Crittenden, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10425780-4405 Issued in UT

Practice address

240 E Center St
Provo, UT 84606-3107

Phone

(801) 877-5801

NPI assigned

Jan 16, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Optimal Health Family Practice

  • Family Medicine Physician
  • Provo, UT
  • NPI 1275099897

  Single Specialty

  NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1902667041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5843 W CENTURY HEIGHTS DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840033030",
            "telephone_number": "480-620-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E CENTER ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063107",
            "telephone_number": "801-877-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5843 W Century Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "UT",
            "postal_code": "840033030",
            "country_code": "US",
            "telephone_number": "480-620-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRITTENDEN",
        "first_name": "SHAUNA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10425780-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Gordon Crews, MFT
• Maya Elizabeth Criser
• Robert H Crist, MD
• Mark Critchfield, MD
• Elly Crittenden
• Shawn Crnich, OTD
• Bradley Dwayne Crockett
• Camille Elizabeth Crockett, ATC
• Dillon Michael Crockett, DPT, PT
• Joshua Lewis Crockett, PA-C

• Family Nurse Practitioner in Provo, UT
• Providers in Provo, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.