Active NPI
Sunshine Urgent Care, LLC
- Urgent Care Clinic/Center
- Lakeland, FL
National Provider Identifier
1457733743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- SUNSHINE URGENT CARE, LLC
- Practice address
- 3305 US Highway 98 S
Lakeland, FL 33803-8365 - Phone
- (863) 777-2740
- NPI assigned
- Jun 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn Chaudhry, MBA, MS-HCI
- Title
- Cfo Owner
- Phone
- (813) 362-8330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
3305 US Highway 98 S
Lakeland, FL 33803-8365
Mailing address
PO Box 1608
Eaton Park, FL 33840-1608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015574700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151014000841 | FL | Part B Supplier - Clinic/Group Practice | 8921317942 |
Receives reassigned benefits from 7 practitioners Practice locations: Lakeland, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2104382 | Sunshine Urgent Care LLC | Certificate of waiver | Nov 2, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Sunshine Urgent Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1871343053
Locations
3305 US Highway 98 S
Lakeland, FL 33803
Phone (863) 777-2740
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/22535/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Winter Haven, FL
- NPI 1659708840
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452556800000",
"number": "1457733743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1608",
"city": "EATON PARK",
"state": "FL",
"postal_code": "338401608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 US HIGHWAY 98 S",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338038365",
"telephone_number": "863-777-2740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE URGENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-23",
"last_updated": "2016-01-12",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "CFO OWNER",
"authorized_official_telephone_number": "813-362-8330",
"authorized_official_credential": "MBA, MS-HCI"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015574700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
- Sunshine Care Partners of Florida
- Sunshine Health & Diagnostics LLC
- Sunshine Pharmacy Services LTD Co
- Sunshine State Chiropractic LLC
- Sunshine State Companion Care LLC
- Sunspire Health Florida, LLC
- Support Therapy Group LLC
- Supreme Comprehensive Health Services, LLC
- Suprina Green
- Adithya Suresh, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.