Shadai Gary, FNP-C

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

APRN11044939 Issued in FL

Practice address

6600 Charing St
Jacksonville, FL 32216-6110

Phone

(904) 674-0022

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waianae District Comprehensive Health and Hospital Board IncorporatedGroup PAC ID 9931008349, 162 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shadai.gary.p1@direct.wcchc.nextgenshare.com

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.

• Waianae District Comprehensive Health and Hospital Board, Inc

  • Family Medicine Physician
  • Waianae, HI
  • NPI 1275566424
  Medicare reassignment Care Compare group NPD
• Waianae District Comprehensive Health and Hospital Board, Inc

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
  • NPI 1346742319
  NPD
• Waianae District Comprehensive Health and Hospital Board, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
  • NPI 1710709365
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1508640616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 CHARING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 CHARING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166110",
            "telephone_number": "904-674-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86-260 Farrington Hwy",
            "address_purpose": "LOCATION",
            "city": "Waianae",
            "state": "HI",
            "postal_code": "967923128",
            "country_code": "US",
            "telephone_number": "808-697-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARY",
        "first_name": "SHADAI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4198",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "HI",
            "license": "APRN-4198",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11044939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immanuel Ishmael Garvin, DC
• Kirvona Garvin, BACHELOR LEVEL
• Gary R Manasse DMD PA
• Gary S McCoy DPM PA
• Sha-Londa Gary
• Bret Garza, MD
• Aleisha Michelle Gasaway, APRN FNP
• Haley Gaskill, MSW
• Ariel Gaskin, RCSWI, LSW
• Latrell Delores Gaskin

• Obstetrics & Gynecology Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.

Verify at the official NPI Registry.