Elizabeth Paige Shinn, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11010679 Issued in FL

Practice address

1114 Samar Rd
Cocoa Beach, FL 32931-3067

Phone

(321) 888-2002

Fax

(321) 306-2876

NPI assigned

Jan 15, 2021

Last updated

Feb 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Nextdoor NP, LLC

  • Family Nurse Practitioner
  • Cocoa Beach, FL
  • NPI 1417712365
  Medicare reassignment NPD Authorized official
• Advanced Healthcare Integration LLC

  • Multi-Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1821696766
  Medicare reassignment NPD
• Functional Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Titusville, FL
  • NPI 1144840414
  NPD (past)
• Rocket Health Care LLC

  • Internal Medicine Physician
  • Cocoa Beach, FL
  • NPI 1598383507
  NPD (past)

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1083203814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 SAMAR RD",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313067",
            "telephone_number": "321-888-2002",
            "fax_number": "321-306-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 SAMAR RD",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313067",
            "telephone_number": "321-888-2002",
            "fax_number": "321-306-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINN",
        "first_name": "ELIZABETH",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Leigh Shahlamian, APRN
• Rabia Salman Shakeel, MD
• Deborah L Shannon
• Susan N. Sharum, M.H. 7645
• Dena Shawkat, RPH
• Shoreline Health Associates LLC
• Angela Sibilia
• Sickels Clinic of Chiropractic Inc
• Daniel Lewis Sickels, D.C.
• Roseann Judith Simone

• Family Nurse Practitioner in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.