Shannon Quintana, FNP-BC, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11033538 Issued in FL

Practice address

527 Sportsman Park Dr
Seffner, FL 33584-4154

Phone

(813) 842-9805

NPI assigned

Jun 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Wound Care, LLCGroup PAC ID 7214394972, 21 clinicians

Health Providers of America LLCGroup PAC ID 9931529948, 97 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 and National Provider Directory roles.

• Advanced Wound Care, LLC

  • Wound Care Registered Nurse
  • Tampa, FL
  • NPI 1356036354
  Medicare reassignment Care Compare group NPD
• Health Providers of America, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316560972

  FL

  Medicare reassignment Care Compare group NPD
• David Bui MD LLC

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1992888515
  Medicare reassignment NPD
• Hyper Healing

  dba Hyper Healing Medical Clinics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • North Charleston, SC
  • NPI 1508381567

  Family, FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1346084704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 SPORTSMAN PARK DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 SPORTSMAN PARK DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844154",
            "telephone_number": "813-842-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033538",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11033538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premium Health Services of Tampa Bay (Express Care of Tampa Bay)
• Proclass Management Solutions LLC
• Publix Super Markets Inc (Publix Pharmacy #0103)
• Ashleigh Pulliam
• Pureline Health LLC (Pureline Pharmacy)
• Chitra Reddy, D.P.M.
• Relianz Health LLC
• Brenda Reyes Barreras
• Yelisa Enid Reyes Hernandez, PHARMD
• Martine Richardson, M.S.

• Family Nurse Practitioner in Seffner, FL
• Providers in Seffner, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.