Jordan Christine Shockley, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM374 Issued in FL

Practice address

800 Central Ave
Sarasota, FL 34236-4021

Phone

(941) 330-9966

NPI assigned

Feb 14, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Birth Harmony, Inc.

  • Birthing Clinic/Center
  • Sarasota, FL
  • NPI 1134266927
  NPD (past)
• Rosemary Birthing Home, Inc.

  • Birthing Clinic/Center
  • Sarasota, FL
  • NPI 1346244035
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1467918540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CENTRAL AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364021",
            "telephone_number": "941-330-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CENTRAL AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364021",
            "telephone_number": "941-330-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "JORDAN",
        "middle_name": "CHRISTINE",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "LM374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie April Shinn, NP-C
• Suchitra Nitya Shivraman, M.D.
• Lilla Shkolnikov, M.D.
• Maksim Shmargun, MD
• Audrey Jean Shockley-Cummings, NP-C
• Jordan Shoemaker, PA-C
• Justin P. Shoemaker, APRN.CRNA
• Linda Shoenberger, L.M.T.
• Eileen C Shomo, PHARM.D.
• Shoreside Interventional Pain LLC

• Midwife in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.