Audrey Jean Shockley-Cummings, NP-C

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

APRN11011463 Issued in FL

Practice address

2200 Ringling Blvd
Sarasota, FL 34237-6102

Phone

(941) 861-2900

NPI assigned

Mar 30, 2021

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

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.

• Florida Department of Health

  dba Bradford County Health Department

  • Public Health or Welfare Agency
  • Starke, FL
  • NPI 1932174240
  Medicare reassignment Care Compare group NPD
• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD
• Florida Department of Health

  dba Sarasota County Health Department

  • Public Health or Welfare Agency
  • Sarasota, FL
  • NPI 1841268216
  NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1164000402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 ELLIOT ST",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232207",
            "telephone_number": "941-681-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376102",
            "telephone_number": "941-861-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY-CUMMINGS",
        "first_name": "AUDREY",
        "middle_name": "JEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "FL",
            "license": "APRN11011463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Shinn, MD
• Stephanie April Shinn, NP-C
• Suchitra Nitya Shivraman, M.D.
• Lilla Shkolnikov, M.D.
• Maksim Shmargun, MD
• Jordan Christine Shockley, LM, CPM
• Jordan Shoemaker, PA-C
• Justin P. Shoemaker, APRN.CRNA
• Linda Shoenberger, L.M.T.
• Eileen C Shomo, PHARM.D.

• Community Health Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Community Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.