Shawn Ganley, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1384 Issued in FL

Practice address

6305 118TH Ave
Largo, FL 33773-3729

Phone

(727) 538-7410

NPI assigned

Jan 29, 2018

Last updated

Jan 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Vaxcare LLC

  dba VaxCare

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1316058217
  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1346748076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 118TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 118TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733729",
            "telephone_number": "727-538-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANLEY",
        "first_name": "SHAWN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Gamache, P.T.
• Latrena Tyree Gamble-Harrell, MSN,FNP-C
• Hiram Gandara, DO
• Olyvia Gander, MA, RMHCI
• Peter Ganio Jr.
• Richard E. Gans, PH.D.
• Estrella M Garay, OTR/L
• Cristina Vanessa Garcia, MD
• Jeanette Garcia
• Lauren Garcia, BSW

• Athletic Trainer in Largo, FL
• Providers in Largo, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.