Delana Shoemake, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2024004874 Issued in MO

Practice address

1059 Barton Dr
Fordland, MO 65652-7350

Phone

(417) 767-2273

Fax

(417) 767-4054

NPI assigned

Feb 7, 2024

Last updated

Feb 7, 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 1

Addresses

Other names 1

• Delana Vaughan Other name

Medicare fee-for-service enrollment

Enrolled in MO

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

Interoperability endpoints

• Direct secure messaging: dshoemake@11ef84f8.micromddirect.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.

• Fordland Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fordland, MO
  • NPI 1881607612
  Medicare reassignment NPD
• Fordland Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1386299501
  NPD

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1932963360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 BARTON DR",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656527350",
            "telephone_number": "417-767-2273",
            "fax_number": "417-767-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 BARTON DR",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656527350",
            "telephone_number": "417-767-2273",
            "fax_number": "417-767-4054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E Bradford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044264",
            "country_code": "US",
            "telephone_number": "417-767-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11863 State Highway 13",
            "address_purpose": "LOCATION",
            "city": "Kimberling City",
            "state": "MO",
            "postal_code": "656868362",
            "country_code": "US",
            "telephone_number": "417-739-1995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOEMAKE",
        "first_name": "DELANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024004874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELANA",
            "last_name": "VAUGHAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cassandra Dianne Pritchett
• Regional Services (Coxhealth School Based Telemedicine)
• Erin K Rickman, R.D.H.
• Evan Rowland, DDS
• Brittany Schroeder, PTA
• Taylor Russel Short, DDS
• Jean A Smith, FNP
• Lydia Thompson, RDH
• Ashley C Wilson, RN
• Michelle Young, RDH

• Psychiatric/Mental Health Nurse Practitioner in Fordland, MO
• Providers in Fordland, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.