Individual provider Active NPI

Shauna Nettles, APRN

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1285357863
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003934 Issued in FL
Practice address
507 NW 60TH St Ste a
Gainesville, FL 32607-6027
Phone
(352) 271-1211
Fax
(352) 399-0080
NPI assigned
Sep 20, 2022
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 APRN11003934 FL Primary

Addresses

Primary practice location

507 NW 60TH St Ste a
Gainesville, FL 32607-6027

Mailing address

7515 County Road 248
O Brien, FL 32071-4143
Phone (386) 965-4368

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240628003726 FL Order and Referring Only - Nurse Practitioner 2062956121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11003934FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Kristin Shiver DC LLC PastSince Jun 3, 2009 Accepting new patients

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1285357863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 COUNTY ROAD 248",
            "city": "O BRIEN",
            "state": "FL",
            "postal_code": "320714143",
            "telephone_number": "386-965-4368",
            "fax_number": "352-399-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 NW 60TH ST STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076027",
            "telephone_number": "352-271-1211",
            "fax_number": "352-399-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "SHAUNA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.