Individual provider Active NPI

Shannon Chambers

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1427545318
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9315523 Issued in FL
Practice address
15700 Panama City Beach Pkwy Unit 380
Panama City Beach, FL 32413-5432
Phone
(850) 238-4445
Fax
(850) 239-4440
NPI assigned
Apr 17, 2018
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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 ARNP9315523 FL Primary

Addresses

Primary practice location

15700 Panama City Beach Pkwy Unit 380
Panama City Beach, FL 32413-5432

Mailing address

15700 Panama City Beach Pkwy Unit 380
Panama City Beach, FL 32413-5432
Phone (850) 238-4445

Other names 1

  • Shannon Patrese Woolfork Former name

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
I20180606001288 FL Practitioner - Nurse Practitioner 4385909761 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9315523FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travel Doctor, PL CurrentSince Feb 24, 2024 Accepting new patients
The Clinicians, LLC CurrentSince Dec 27, 2023 Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

Interoperability endpoints

  • Direct secure messaging: shannon.chambers.1@30520.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1427545318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 PANAMA CITY BEACH PKWY UNIT 380",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324135432",
            "telephone_number": "850-238-4445",
            "fax_number": "850-238-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 PANAMA CITY BEACH PKWY UNIT 380",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324135432",
            "telephone_number": "850-238-4445",
            "fax_number": "850-239-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9315523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WOOLFORK",
            "middle_name": "PATRESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.