Active NPI
Shannon Tara Ormsbee, APRN
- Family Nurse Practitioner
- Fort Bragg, NC
National Provider Identifier
1972856706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5009248
- Practice address
- Wamc Clark Health Clinic
BLDG 5-4257 Bastogne Street
Fort Bragg, NC 28310 - Phone
- (910) 907-2575
- Fax
- (910) 908-7738
- NPI assigned
- Oct 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 005158 | CT | |
| Family Nurse Practitioner | 363LF0000X | 5009248 | NC | Primary |
Addresses
Primary practice location
Wamc Clark Health Clinic
BLDG 5-4257 Bastogne Street
Fort Bragg, NC 28310
Mailing address
209 Timberlake Drive
Fayetteville, NC 28314
Phone (802) 779-7128
Other names 1
- Shannon Tara Whittemore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital CT
Bellows Falls, VT 05101-1489
Phone (802) 463-9000
100 River St
Springfield, VT 05156-2930
Phone (802) 886-8900
Hospital & facility affiliations
- Springfield Hospital
- Mary Hitchcock Memorial Hospital
- Mt Ascutney Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005158 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Medical Care Systems Inc. | Current | Accepting new patients | |
| Springfield Medical Care Systems Inc | Current | Accepting new patients |
Locations
1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292
100 River St
Springfield, VT 05156
Phone (802) 886-8900
Interoperability endpoints
- shannon.ormsbee.1@24182.direct.athenahealth.com
- https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Springfield, VT
- NPI 1730336843
-
- Federally Qualified Health Center (FQHC)
- Springfield, VT
- NPI 1457979130
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
-
- Critical Access Hospital
- Windsor, VT
- NPI 1922095918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1972856706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 TIMBERLAKE DRIVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28314",
"telephone_number": "802-779-7128",
"fax_number": "910-908-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAMC CLARK HEALTH CLINIC",
"address_2": "BLDG 5-4257 BASTOGNE STREET",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-2575",
"fax_number": "910-908-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORMSBEE",
"first_name": "SHANNON",
"middle_name": "TARA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "005158",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "WHITTEMORE",
"middle_name": "TARA",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.