Active NPI
Shannan Maria Leonard, FNP
- Adult Health Nurse Practitioner
- Ocoee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11008729
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O4069 | Other | FL | MEDICARE HF |
| 114377000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 338042 | NY | MD | Internal Medicine Physician |
| APRN11008729 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Privia Medical Group Florida, LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | 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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.