Individual provider Active NPI

Shynequria Donshea Williams-McNealy

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1104099399
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9167823 Issued in FL
Practice address
2457 Care Dr
Suite D100
Tallahassee, FL 32308-3501
Phone
(850) 841-1166
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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 9167823 FL Primary

Addresses

Primary practice location

2457 Care Dr
Suite D100
Tallahassee, FL 32308-3501

Mailing address

PO Box 250
Gretna, FL 32332-0250
Phone (850) 875-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2634 Capital Cir NE
Tallahassee, FL 32308-4106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9167823FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apalachee Center, Inc. CurrentSince May 30, 2018 Accepting new patients
Apalachee Center Inc CurrentSince May 30, 2018 Accepting new patients
Apalachee Center, Inc. Past Accepting new patients

Locations

225 SW Sumatra Ave
Madison, FL 32340
Phone (850) 363-0906

79 Lasalle Path
Quincy, FL 32351
Phone (850) 875-2422

2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243

2634 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 523-3261

2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 523-3440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1104099399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "GRETNA",
            "state": "FL",
            "postal_code": "323320250",
            "telephone_number": "850-875-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 CARE DR",
            "address_2": "SUITE D100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083501",
            "telephone_number": "850-841-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-MCNEALY",
        "first_name": "SHYNEQURIA",
        "middle_name": "DONSHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9167823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.