MS. SHAWNTE RENEE GREGG N.P. NPI 1629265483

NPI Information

  • NPI: 1629265483
  • Provider Name: MS. SHAWNTE RENEE GREGG, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4688 W TANGERINE RD APT 12208
    MARANA, AZ
    ZIP 85658
  • Phone: (765) 215-7332

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NPI Details

MS. Shawnte Renee Gregg, N.P. is a family nurse practitioner in Marana, AZ. MS. Shawnte Renee Gregg, N.P. NPI is 1629265483. 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:

4688 W TANGERINE RD APT 12208
MARANA, AZ
ZIP 85658-890
Phone: (765) 215-7332

The enumeration date for this NPI number is 9/26/2007 and was last updated on 7/21/2022.

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
1363LF0000XNurse PractitionerFamily71002489AINDIANANo
2363LF0000XNurse PractitionerFamilyAP9774ARIZONAYes
3363L00000XNurse Practitioner71002489AINDIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200875520MEDICAIDINDIANA

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

NPI Synchronization or Removal

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