Individual provider Active NPI

Shazia Gill Nackashi

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1407525348
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11028638 Issued in FL
Practice address
9900 W Sample Rd Ste 405-1
Coral Springs, FL 33065-4048
Phone
(954) 603-4081
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9442601 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11028638 FL Primary

Addresses

Primary practice location

9900 W Sample Rd Ste 405-1
Coral Springs, FL 33065-4048

Mailing address

11734 Magnolia Falls Dr
Jacksonville, FL 32258-2585

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
I20250122003249 FL Practitioner - Nurse Practitioner 2264961119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mens Mental HealthGroup PAC ID 5092211367, 6 clinicians

Practice addresses (Care Compare)

1035 Kings Ave
Jacksonville, FL 32207-8311
Phone (904) 833-4636

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9442601FLMDRegistered Nurse
APRN11028638FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mens Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Metropolitan Behavioral Services LLC CurrentSince Dec 14, 2024 Accepting new patients

Locations

4500 Salisbury Rd
Ste 490
Jacksonville, FL 32216
Phone (904) 562-1391

1035 Kings Ave
Jacksonville, FL 32207
Phone (904) 833-4636

Interoperability endpoints

  • Direct secure messaging: snackashi339995@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1407525348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11734 MAGNOLIA FALLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W SAMPLE RD STE 405-1",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654048",
            "telephone_number": "954-603-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACKASHI",
        "first_name": "SHAZIA",
        "middle_name": "GILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9442601",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11028638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.