Jamie Patrick Shanks

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

Practice address

5410 Sun Valley Dr
Pensacola, FL 32505-2135

Phone

(850) 346-1515

NPI assigned

Aug 2, 2017

Sex

Male

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

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.

• A&J Medical Transportation Company

  • Non-emergency Medical Transport (VAN)
  • Pensacola, FL
  • NPI 1609376623
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467976233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 SUN VALLEY DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052135",
            "telephone_number": "850-346-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 SUN VALLEY DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052135",
            "telephone_number": "850-346-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "JAMIE",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeshan Ali Shakir, MBBS
• Daryla Jeanine Shakley, M.A., CCC/SLP
• Jason Shallowhorne, CO
• Susan Ann Shanahan, LMT
• William J Shanahan, MD
• Prashanth Shanmugham, M.D.
• Shardae'S Heavenly Touch, LLC
• Peter James Shark, LAC
• Elliott Arnold Sharon Jr., M.D.
• Sharper Vision Inc

• All providers in Pensacola, FL
• Vehicle Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.