Active NPI
Tina Jill Shapiro, ARNP, PHD
- Nurse Practitioner
- Orlando, FL
National Provider Identifier
1457502528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1377822
- Practice address
- 1717 S Orange Ave Ste 100
Nemours Childrens Clinic, Orlando
Orlando, FL 32806-2946 - Phone
- (407) 650-7000
- Fax
- (407) 567-5924
- NPI assigned
- Oct 7, 2008
- Last updated
- May 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1377822 | FL | Primary |
Addresses
Primary practice location
1717 S Orange Ave Ste 100
Nemours Childrens Clinic, Orlando
Orlando, FL 32806-2946
Mailing address
PO Box 191
Provider Enrollment Department
Rockland, DE 19732-0191
Phone (904) 697-4201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| '012030000 | Medicaid | FL |
Other names 1
- Ms. Tina Jill Shapiro-Stoler
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140722000919 | FL | Order and Referring Only - Nurse Practitioner | 4082830344 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1457502528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PROVIDER ENROLLMENT DEPARTMENT",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "904-697-4201",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S ORANGE AVE STE 100",
"address_2": "NEMOURS CHILDRENS CLINIC, ORLANDO",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062946",
"telephone_number": "407-650-7000",
"fax_number": "407-567-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "TINA",
"middle_name": "JILL",
"name_prefix": "Dr.",
"credential": "ARNP, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-07",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1377822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "'012030000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "SHAPIRO-STOLER",
"middle_name": "JILL",
"prefix": "MS.",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.