Individual provider Active NPI

Shanta Katice Davis, APRN

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1295344562
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11008236 Issued in FL
Practice address
6740 Crosswinds Dr N Ste C
Saint Petersburg, FL 33710-5472
Phone
(727) 954-0010
NPI assigned
Jul 23, 2020
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11008236 FL Primary

Addresses

Primary practice location

6740 Crosswinds Dr N Ste C
Saint Petersburg, FL 33710-5472

Mailing address

1050 17TH St S
St Petersburg, FL 33712-2418
Phone (727) 741-8475

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
I20211201002067 FL Practitioner - Nurse Practitioner 7618367871 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Transitions Healthcare LLCGroup PAC ID 5890166631, 18 clinicians
Chma of FL, PLLCGroup PAC ID 8123420643, 25 clinicians
Olive Health LLCGroup PAC ID 1153739214, 7 clinicians

Practice addresses (Care Compare)

15500 Roosevelt Blvd
Suite 101
Clearwater, FL 33760-3430
Phone (727) 214-4622

2777 NE 183Rd St
Aventura, FL 33160-2165
Phone (443) 383-9300

4912 W Trapnell Rd
Plant City, FL 33566-0128
Phone (813) 389-9474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11008236FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients
Olive Health LLC Single Specialty CurrentSince Mar 20, 2025 Accepting new patients
Sun Miracle Wellness Center LLC Single Specialty CurrentSince Mar 11, 2025 Accepting new patients
Rehabilitation and Electrodiagnostics PA Single Specialty CurrentSince May 1, 2023 Accepting new patients
Transitions Healthcare LLC Single Specialty CurrentSince Jul 17, 2024 Accepting new patients
Chma of FL, PLLC Single Specialty CurrentSince Nov 22, 2021 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

15500 Roosevelt Blvd
Ste 101
Clearwater, FL 33760
Phone (727) 214-4622

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849

6740 Crosswinds Dr N
Ste C
St Petersburg, FL 33710
Phone (727) 381-5432

625 E Twiggs St
Ste 103
Tampa, FL 33602
Phone (813) 228-7696

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sdavis268188@direct.tgh.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1295344562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 17TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122418",
            "telephone_number": "727-741-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 CROSSWINDS DR N STE C",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337105472",
            "telephone_number": "727-954-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHANTA",
        "middle_name": "KATICE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11008236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.