Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669764544 Individual Practitioner Female Practitioner

Shauna Mucklow

Contractor • Kearney, NE

Professional Overview & Biography Verified Profile Summary

Shauna Mucklow is a registered healthcare professional specializing in Contractor in Kearney, NE. Practice services are available at 2304 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2304 Central Ave

Kearney, NE 688475349

Telephone 3082373044
Fax 3082373051
Associated Practice Facility / Clinic
🏢 Time For Baby Facility NPI 1710235254

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Kearney, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Kearney, NE (272 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License NE 001009538704

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
10025378300 (NE)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2011

Registered at 2304 CENTRAL AVE, KEARNEY, NE 688475349 (Tel: 3082373044)

📍
Updated Business Mailing Address May 10, 2011

Registered at 2304 CENTRAL AVE, KEARNEY, NE 688475349 (Tel: 3082373044)

👤
Provider Name / Credentials Updated May 10, 2011

Recorded as SHAUNA MUCKLOW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2011

Contractor (License #001009538704 in NE)

🟢
Initial NPI Registration & Enumeration May 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669764544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2011
Last Update: May 10, 2011
Sole Proprietor: Yes

Mailing Address

2304 Central Ave

Kearney, NE 688475349

Phone: 3082373044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.