Shenandoah Medical University LLC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

SHENANDOAH MEDICAL UNIVERSITY LLC

Practice address

401 N Rosemary Ave
West Palm Beach, FL 33401-4133

Phone

(561) 223-9191

NPI assigned

May 13, 2025

Organization subpart

No

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

Authorized official

Name

Danielle Fuller, MBS

Title

Ceo

Phone

(561) 275-0427

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joy Lee Mowett-Fuller, DNP, AAPRN, FNP-BC

  • Family Nurse Practitioner
  • Lantana, FL
  • NPI 1720228208
  NPD

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1073304945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741424",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334741424",
            "telephone_number": "561-223-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N ROSEMARY AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014133",
            "telephone_number": "561-223-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6234 S Congress Ave Ste F1",
            "address_purpose": "LOCATION",
            "city": "Lantana",
            "state": "FL",
            "postal_code": "334622307",
            "country_code": "US",
            "telephone_number": "561-619-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHENANDOAH MEDICAL UNIVERSITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-275-0427",
        "authorized_official_credential": "MBS"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Shchegol
• Angela Shealey, CEO
• Sarah Ann Sheedy
• Lauren Marie Sheetz, CF-SLP
• Christopher Sheffield, FNP-C
• Shenque Healthcare Inc
• Jessica Shepherd
• Jessica Shepley
• Solomon Sheream, RN
• Sheridan Critical Care Services of Florida, Inc.

• Student in an Organized Health Care Education/Training Program in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.