Individual provider Active NPI

Shannan Maria Leonard, FNP

  • Adult Health Nurse Practitioner
  • Ocoee, FL
National Provider Identifier
1497194534
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11008729 Issued in FL
Practice address
9900 W Colonial Dr
Ocoee, FL 34761-3448
Phone
(321) 843-7497
Fax
(321) 843-7497
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11008729 FL
Adult Health Nurse Practitioner 363LA2200X APRN11008729 FL Primary

Addresses

Primary practice location

9900 W Colonial Dr
Ocoee, FL 34761-3448

Mailing address

9900 W Colonial Dr
Ocoee, FL 34761-3448
Phone (321) 843-7497

Other practice location 1

661 E Altamonte Dr Ste 224
Altamonte Spg, FL 32701-5102
Phone (407) 830-9000

Other identifiers 2

IdentifierTypeStateIssuer
O4069OtherFLMEDICARE HF
114377000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140305000391 NY Practitioner - Nurse Practitioner 9335379742 Reassigns benefits to 1 organization
I20220328001099 FL Practitioner - Nurse Practitioner 9335379742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

9900 W Colonial Dr
Ocoee, FL 34761-3448
Phone (321) 843-7440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
338042NYMDInternal Medicine Physician
APRN11008729FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Services Hospitals, Inc. CurrentSince Aug 1, 2013 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
United Medical Associates PC Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 224
Altamonte Springs, FL 32701
Phone (407) 830-9000

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

9900 W Colonial Dr
Ocoee, FL 34761
Phone (321) 841-6308

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

1290 Upper Front St
Binghamton, NY 13901
Phone (607) 722-3417

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1497194534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613448",
            "telephone_number": "321-843-7497",
            "fax_number": "321-843-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613448",
            "telephone_number": "321-843-7497",
            "fax_number": "321-843-7497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 E Altamonte Dr Ste 224",
            "address_purpose": "LOCATION",
            "city": "Altamonte Spg",
            "state": "FL",
            "postal_code": "327015102",
            "country_code": "US",
            "telephone_number": "407-830-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "SHANNAN",
        "middle_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008729",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11008729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "O4069",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114377000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.