Shawn David Tredinnick, FNP-C
Nurse Practitioner in Danville, PA. Individual provider (NPI-1).
NPI number1194456541
StatusActive
Last updated in NPPESNov 29, 2023
Details
- NPI
- 1194456541
- Entity type
- Individual (NPI-1)
- Name
- Shawn David Tredinnick
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2022
- Certification date
- Nov 29, 2023
- Last updated
- Nov 29, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP028280 | PA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 226723 | LA | |
| 163W00000X | Registered Nurse | RN161343 | LA |
Practice location
100 N Academy AveDanville, PA 17822-7127
Phone 570-214-9585 · Fax 570-214-9519
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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