Shire Maria Padao, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Oxford, FL
NPI 1558098491 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1558098491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 11021164 (FL)
- Practice address
- 4993 Sandpiper Dr
Oxford, FL 34484-3816 - Phone
- (630) 997-4455
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230228001886 | FL | Practitioner - Nurse Practitioner | 0345613055 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11021164 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- shire.padao.1@24284.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 11021164 | FL | Yes |
Addresses
Primary practice location
4993 Sandpiper Dr
Oxford, FL 34484-3816
Mailing address
4993 Sandpiper Dr
Oxford, FL 34484-3816
Phone (630) 997-4455
Other providers in Oxford, FL
- Stella Munizzi
- My Residence Care Place LLC
- Natural Therapy Group, LLC
- Ezra David Ndolo
- Arnaldo Ogerio
- Passport Health Holdings, LLC
- Presence Psychotherapy LLC
- Preventive Nephrology, PA
- Promise Hospital of Florida at the Villages, Inc.
- Patrick Pruitt
All providers in Oxford, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.