Shining Light Peer Services

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

SHINING LIGHT PEER SERVICES

Practice address

3030 Powers Ave
Jacksonville, FL 32207-8043

Phone

(904) 290-9274

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Diane Linkenauger, NCRPS

Title

Director

Phone

(904) 290-9274

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Scott, NCRPS

  • Peer Specialist
  • Jacksonville, FL
  • NPI 1033958012
  NPD

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1487138939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14269 PALMETTO SPRINGS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581138",
            "telephone_number": "904-290-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 POWERS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078043",
            "telephone_number": "904-290-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING LIGHT PEER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "LINKENAUGER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-290-9274",
        "authorized_official_credential": "NCRPS"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junghye Shin, AU.D.
• Dionna Shine, PHARMD
• Sarah Shine
• Timothy Shine, MD
• Tracy Shingle-Bratton
• Shining Stars Applied Behavior Analysis Corp.
• Shinymax
• Hannah Marie Shipe
• Shipp Adult Family Care Home
• Arianne Shipp, DO

• Recovery Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Recovery Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.