Shannen M McGinley-Vallee, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS18776 Issued in FL

Practice address

8057 Spyglass Hill Rd Ste 102
Viera, FL 32940-8565

Phone

(321) 435-9800

NPI assigned

Apr 10, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shannen.mcginley-vallee.1@8042.direct.athenahealth.com

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1154884815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S WOODS DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553262",
            "telephone_number": "321-636-3066",
            "fax_number": "321-636-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8057 SPYGLASS HILL RD STE 102",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408565",
            "telephone_number": "321-435-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 W Cocoa Beach Cswy Ste 401",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313562",
            "country_code": "US",
            "telephone_number": "321-784-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 W Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012616",
            "country_code": "US",
            "telephone_number": "321-724-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 S Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553262",
            "country_code": "US",
            "telephone_number": "321-636-3066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGINLEY-VALLEE",
        "first_name": "SHANNEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS18776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114735600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ann Marquardt
• Reihaneh Mauer, DMD
• Jan M McCaleb, PA-C
• Teresa Lynn McDermott, R.D.
• Michelle McEver, LCSW
• Michael Martin McGowan, MS, ATC, LAT
• McKee Family Practice PA
• Jacob Gardner McKee, LCSW
• Mary Anne McNamara, D.O.
• Tiffany McTurck

• Pediatrics Physician in Viera, FL
• Providers in Viera, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.