Nathan Shadd

Primary specialty

Cardiac-Interventional Technology Radiologic TechnologistTaxonomy code 2471C1106X

License

CRT71794 Issued in FL

Practice address

1 Tampa General Cir
Tampa, FL 33606-3571

Phone

(813) 844-7000

NPI assigned

Mar 9, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362787200000",
    "number": "1306187703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 SUGAR PINE BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338101387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADD",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-09",
        "last_updated": "2013-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C1106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiac-Interventional Technology",
            "state": "FL",
            "license": "CRT71794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SGF Tampa Bay LLC
• SH Carrollwood, LLC
• SH Northdale, LLC
• Elena Shackelford, OT
• Margaret Shackelford
• Megan Elizabeth Shader, PHARM.D.
• Shady Oaks Living Center
• Shady Palms Retirement Homes, Inc.
• Kristy Marie Shaeer, PHARMD
• Claudia Shafer

• Cardiac-Interventional Technology Radiologic Technologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Cardiac-Interventional Technology Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; 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.