Individual provider Active NPI

Shannon Lorraine Milam, ARNP-BC

  • Gerontology Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1447633763
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN9278663 Issued in FL
Practice address
601 University Blvd Ste 204
Jupiter, FL 33458-2788
Phone
(561) 564-0665
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ARNP9278663 FL
Gerontology Nurse Practitioner 363LG0600X APRN9278663 FL Primary

Addresses

Primary practice location

601 University Blvd Ste 204
Jupiter, FL 33458-2788

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2000

Other practice location 1

1002 S Old Dixie Hwy Ste 201
Jupiter, FL 33458-7202
Phone (561) 744-2200

Other practice location 2

13475 Southern Blvd
Loxahatchee, FL 33470-9233
Phone (561) 333-5022

Other identifiers 1

IdentifierTypeStateIssuer
IM409ZOtherFLMEDICARE PTAN

Other names 1

  • Shannon Lorraine Coleman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon.milam.1@29601.direct.athenahealth.com

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
I20160315000789 FL Practitioner - Nurse Practitioner 1153627336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

601 University Blvd
Jupiter, FL 33458-2788
Phone (561) 747-5066

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9278663FLMDGeneral Practice Physician
APRN9278663FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metcare of Florida, Inc CurrentSince Jun 1, 2021 Accepting new patients
Conviva Medical Center Management LLC General Practice CurrentSince Aug 17, 2025 Accepting new patients
Conviva Medical Center Management LLC General Practice CurrentSince Aug 1, 2024 Accepting new patients
Metcare of Florida, Inc CurrentSince Jun 1, 2021 Accepting new patients
Metcare of Florida Past Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

875 Military Trl
Ste 208
Jupiter, FL 33458
Phone (561) 242-9646

601 University Blvd
Ste 204
Jupiter, FL 33458
Phone (561) 564-0665

875 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 746-2411

13475 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 333-5022

13475 Southern Blvd
Ste 100
Loxahatchee, FL 33470
Phone (561) 231-5200

13475 Southern Blvd
Ste 10
Loxahatchee, FL 33470

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1700 SE Hillmoor Dr
Ste 500
Port St Lucie, FL 34952
Phone (772) 335-3200

1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986
Phone (772) 877-3591

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1447633763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD STE 204",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-564-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 S Old Dixie Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587202",
            "country_code": "US",
            "telephone_number": "561-744-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13475 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334709233",
            "country_code": "US",
            "telephone_number": "561-333-5022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILAM",
        "first_name": "SHANNON",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ARNP9278663",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9278663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IM409Z",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.milam.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "601 University Blvd Ste 204",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334582788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "COLEMAN",
            "middle_name": "LORRAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.