Individual provider Active NPI

Shawnikka Gunn, RN

  • Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1174937122
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9392236 Issued in FL
Practice address
6859 Lenox Ave Ste 18
Jacksonville, FL 32205-6149
Phone
(843) 939-0652
NPI assigned
Jun 18, 2014
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9392236 FL Primary

Addresses

Primary practice location

6859 Lenox Ave Ste 18
Jacksonville, FL 32205-6149

Mailing address

6859 Lenox Ave Ste 18
Jacksonville, FL 32205-6149
Phone (843) 939-0652

Other identifiers 1

IdentifierTypeStateIssuer
1174937122MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL skyviewcompanioncare@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9392236FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Skyview Companion & Home Care Services, LLC Current Accepting new patients

Locations

6859 Lenox Ave
Ste 18
Jacksonville, FL 32205
Phone (843) 939-0652

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1174937122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 LENOX AVE STE 18",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056149",
            "telephone_number": "843-939-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 LENOX AVE STE 18",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056149",
            "telephone_number": "843-939-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "SHAWNIKKA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9392236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174937122",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "skyviewcompanioncare@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6859 Lenox Ave Ste 18",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322056149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.