Active NPI
Eric Shinkle
- Athletic Trainer
- Ave Maria, FL
National Provider Identifier
1467087619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL5831
- Practice address
- 5050 Ave Maria Blvd
Ave Maria, FL 34142-9505 - Phone
- (239) 304-7865
- NPI assigned
- Mar 9, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL5831 | FL | Primary |
Addresses
Primary practice location
5050 Ave Maria Blvd
Ave Maria, FL 34142-9505
Mailing address
5247 Hemingway LN E Apt 1707
Naples, FL 34116-5016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL5831 | Other | FL | ATHLETIC TRAINING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL5831 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1467087619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5247 HEMINGWAY LN E APT 1707",
"city": "NAPLES",
"state": "FL",
"postal_code": "341165016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 AVE MARIA BLVD",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341429505",
"telephone_number": "239-304-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINKLE",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-09",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL5831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINING LICENSE",
"identifier": "AL5831",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ave Maria, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.