Shannon Leigh Mims

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9363950 Issued in FL

Practice address

12670 Whitehall Dr
Fort Myers, FL 33907-3619

Phone

(239) 936-3554

NPI assigned

Oct 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Leigh Orama Former name

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

Hospital & facility affiliations

• Haven Home Health Care Home health agency, Venice, FL, CCN 687116
• HCA Florida Healthcare at Home Home health agency, PT Charlotte, FL, CCN 108013
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Florida Neurology Group P L

  • Neurology Physician
  • Fort Myers, FL
  • NPI 1962497669
  Medicare reassignment NPD
• Florida Neurology Group

  • Neurology Physician
  • Cape Coral, FL
  • NPI 1932318821
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  dba Gulf Coast Medical Center

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1366281750
  Care Compare affiliation
• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  dba Cape Coral Hospital

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation
• MHC Area 8, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Venice, FL
  • NPI 1518429166
  Care Compare affiliation
• Nurse on Call, LLC

  dba HCA Florida Healthcare at Home

  • Home Health Agency
  • PT Charlotte, FL
  • NPI 1891747952
  Care Compare affiliation

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1457828899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19581 LANSHELL DRIVE",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "33917",
            "telephone_number": "703-582-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 WHITEHALL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073619",
            "telephone_number": "239-936-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9363950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "ORAMA",
            "middle_name": "LEIGH",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Marie Mills, PH.D
• Veronica Mills, PA-C
• Douglas E Milsap, DDS
• Alisha N Milton Lewis, PHARMD
• Kelly Milton, M.D.
• Steven C Mims, CRNA
• Bassem M Mina
• John W Mina, DPM
• Cecilia Minano, M.D., M.P.H.
• Mind and Brain Care LLC

• Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.
• 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.

Verify at the official NPI Registry.