Shauna Kranendonk LLC
NPI 1710900600ActiveOrganization· Dermatology, Procedural Dermatology· Jupiter, FL
Dermatology, Procedural Dermatology in Jupiter, Florida, registered in NPPES in July 2006, part of Shauna Kranendonk, LLC. The authorized official on file is Shauna Kay Kranendonk, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710900600 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Shauna Kranendonk, LLC |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Dec 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Procedural Dermatology Primary | 207NS0135X | ME84713 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Dermatology, Procedural Dermatology providers in Jupiter
- 1659316867
All Dermatology, Procedural Dermatology providers in Florida