Shawn Christie Destasio, NP
NPI 1942378690ActiveIndividual· Nurse Practitioner, Family· Torrance, CA
Nurse Practitioner, Family (NP) with Avenir Ventures LLC, practicing in Torrance, California. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1942378690 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Dec 1, 2006 |
| Last updated in NPPES | Aug 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 559889 | CA |
| Nurse Practitioner, Family | 363LF0000X | 5006629 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Avenir Ventures LLCSomersworth, NH · 33 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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