MRS. KENYA SHANTA SHOTWELL FNP-BC NPI 1740735885

NPI Information

  • NPI: 1740735885
  • Provider Name: MRS. KENYA SHANTA SHOTWELL, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 637 DUNN RD STE 102A
    HAZELWOOD, MO
    ZIP 63042
  • Phone: (636) 266-7946

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NPI Details

MRS. Kenya Shanta Shotwell, FNP-BC is a family nurse practitioner in Hazelwood, MO with 10 years of experience. MRS. Kenya Shanta Shotwell, FNP-BC NPI is 1740735885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

637 DUNN RD STE 102A
HAZELWOOD, MO
ZIP 63042-755
Phone: (636) 266-7946
Fax: (314) 364-6381

The NPI 1740735885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Hemoglobin a1c level (HCPCS:83036)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 8/18/2016 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2016000991MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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