SHAUNA DARLENE MACK CRNP NPI 1134677727

NPI Information

  • NPI: 1134677727
  • Provider Name: SHAUNA DARLENE MACK, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 145 W 4TH ST STE 201
    COOKEVILLE, TN
    ZIP 38501
  • Phone: (931) 783-2143

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NPI Details

Shauna Darlene Mack, CRNP is a family nurse practitioner in Cookeville, TN with 10 years of experience. Shauna Darlene Mack, CRNP NPI is 1134677727. 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:

145 W 4TH ST STE 201
COOKEVILLE, TN
ZIP 38501-476
Phone: (931) 783-2143

The NPI 1134677727 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.

  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 9/13/2016 and was last updated on 5/26/2022.

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
1163W00000XRegistered NurseRN616820PENNSYLVANIANo
2363LF0000XNurse PractitionerFamilySP016657PENNSYLVANIAYes

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: 11/21/2025

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