Active NPIIndividual provider

Mrs. Shana L Carter, MS APRN

Nurse Practitioner, Family in Maywood, Illinois

NPI Number1124190590
Practice location
2160 S 1ST Ave, Maywood, IL 60153-3328
Fax
—
Last updated
December 3, 2025

Mrs. Shana L Carter, MS APRN is a Nurse Practitioner, Family based in Maywood, IL. Mrs. Shana L Carter, MS APRN holds the professional credentials of MS APRN. The NPI number for Mrs. Shana L Carter, MS APRN is 1124190590 and holds license No. 120113 (MT). The current practice location address is 2160 S 1ST Ave, Maywood, IL 60153-3328 and the office can be reached by phone at 708-216-9000. The NPI was assigned on November 14, 2006 and the record was last updated in NPPES on December 3, 2025.

●Provider Profile Details

NPI Number
1124190590
Provider Name
Shana L Carter
Credential
MS APRN
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Enumeration Date
November 14, 2006
Last Update Date
December 3, 2025
Certification Date
December 3, 2025
NPI Status
Active

◉Business Practice Location Address

Address
2160 S 1ST Ave
Maywood, IL 60153-3328
ZIP
60153-3328
Country
US
Phone Number
708-216-9000

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✉Business Mailing Address

Address
320 Sunnyview Ln
Kalispell, MT 59901-3129
City
Kalispell
State
MT
ZIP
59901-3129
Phone Number
460-752-7441

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Family363LF0000XNo120113MT
Nurse Practitioner, Family363LF0000XYes209030215IL
Nurse Practitioner, Family363LF0000XNo110580NE

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Mrs. Shana L Carter, MS APRN?

The NPI number of Mrs. Shana L Carter, MS APRN is 1124190590. It was assigned on November 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Shana L Carter, MS APRN?

Mrs. Shana L Carter, MS APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 120113 (MT).

Where does Mrs. Shana L Carter, MS APRN practice?

The practice location is 2160 S 1ST Ave, Maywood, IL 60153-3328. The office can be reached at 708-216-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124190590 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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