Individual provider Active NPI

Shannyn O'Keefe Estevez, APRN

  • Family Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1386361806
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021728 Issued in FL
Practice address
26463 Sandhill Blvd
Punta Gorda, FL 33983-6180
Phone
(305) 432-7440
NPI assigned
Oct 25, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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 11021728 FL Primary

Addresses

Primary practice location

26463 Sandhill Blvd
Punta Gorda, FL 33983-6180

Mailing address

PO Box 510732
Punta Gorda, FL 33951-0732
Phone (305) 432-7440

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
I20230105002445 FL Practitioner - Nurse Practitioner 9234509399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Md4Er LLCGroup PAC ID 0840511242, 11 clinicians

Practice addresses (Care Compare)

5900 College Rd
Key West, FL 33040-4342
Phone (305) 294-5531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021728FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Arrhythmia Institute PA CurrentSince Nov 1, 2022 Accepting new patients
Er2You LLC CurrentSince Apr 1, 2023 Accepting new patients
Md4Er LLC CurrentSince Jun 27, 2024 Accepting new patients

Locations

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

2484 Caring Way
Unit B
Pt Charlotte, FL 33952
Phone (800) 771-7164

1540 S Tamiami Trl
Ste 305
Sarasota, FL 34239
Phone (800) 771-7164

1525 Tamiami Trl S
Ste 603F
Venice, FL 34285
Phone (941) 275-2968

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17280/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 1

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1386361806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510732",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510732",
            "telephone_number": "305-432-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26463 SANDHILL BLVD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836180",
            "telephone_number": "305-432-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEVEZ",
        "first_name": "SHANNYN",
        "middle_name": "O'KEEFE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.