Individual provider Active NPI

Lashunda Blackshear, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1073099453
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9245600 Issued in FL
Practice address
2247 Palm Beach Lakes Blvd Ste 206
West Palm Beach, FL 33409-3413
Phone
(561) 841-6960
Fax
(561) 623-7627
NPI assigned
Jul 18, 2018
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9245600 FL Primary

Addresses

Primary practice location

2247 Palm Beach Lakes Blvd Ste 206
West Palm Beach, FL 33409-3413

Mailing address

2247 Palm Beach Lakes Blvd Ste 206
West Palm Beach, FL 33409-3413
Phone (561) 841-6960

Other names 1

  • Lashunda James Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402002603 FL Practitioner - Nurse Practitioner 4385985209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Direct Primary Care LLCGroup PAC ID 4385074574, 2 clinicians

Practice addresses (Care Compare)

2247 Palm Beach Lakes Blvd
Suite 206
West Palm Beach, FL 33409-3413
Phone (561) 841-6960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9245600FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Small Hospital Innovations LLC CurrentSince May 1, 2023 Accepting new patients
Accountable Care Post Acute Care Services LLC CurrentSince Sep 23, 2018 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

375 W Yamato Rd
Boca Raton, FL 33431
Phone (561) 866-3200

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

3461 Fairlane Farms Rd
West Palm Beach, FL 33414
Phone 56176613001109

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1073099453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093413",
            "telephone_number": "561-841-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093413",
            "telephone_number": "561-841-6960",
            "fax_number": "561-623-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSHEAR",
        "first_name": "LASHUNDA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9245600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LASHUNDA",
            "last_name": "JAMES",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.