Individual provider Active NPI

Shelevia Dawson, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1568121978
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11016877 Issued in FL
Practice address
14100 58TH St N
Clearwater, FL 33760-9900
Phone
(727) 824-8181
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 APRN11016877 FL
Primary Care Nurse Practitioner 363LP2300X APRN11016877 FL Primary

Addresses

Primary practice location

14100 58TH St N
Clearwater, FL 33760-9900

Mailing address

PO Box 1188
Bristol, FL 32321-1188

Other practice location 1

11058 NW Dawson Rd
Bristol, FL 32321-1188
Phone (850) 591-5483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250515001855 FL Practitioner - Nurse Practitioner 4486172285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Pinellas IncGroup PAC ID 8527961028, 65 clinicians

Practice addresses (Care Compare)

1344 22ND St S
St Petersburg, FL 33712-2744
Phone (727) 824-8181

14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181

247 S Huey Ave
Tarpon Springs, FL 34689-4205
Phone (727) 824-8181

7550 43Rd St N
Pinellas Park, FL 33781-3601
Phone (727) 824-8181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Pinellas Inc CurrentSince May 9, 2025 Accepting new patients
Community Health Center of Pinellas Inc Current Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince May 9, 2025 Accepting new patients

Locations

26286 US Highway 19 N
Ste B
Clearwater, FL 33761
Phone (727) 824-8100

14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224

14100 58th St N
Clearwater, FL 33760

1260 S Mlk Jr Ave
Clearwater, FL 33756
Phone (727) 824-2121

12420 130th Ave N
Largo, FL 33774
Phone (727) 587-7729

7550 43rd St N
Pinellas Park, FL 33781
Phone (727) 290-4222

4950 34th St N
St Petersburg, FL 33714

1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701

612 Dr Martin Luther King Jr St N
St Petersburg, FL 33705

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

247 S Huey Ave
Tarpon Springs, FL 34689
Phone (727) 944-3828

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1568121978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323211188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 58TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337609900",
            "telephone_number": "727-824-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11058 NW Dawson Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "FL",
            "postal_code": "323211188",
            "country_code": "US",
            "telephone_number": "850-591-5483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "SHELEVIA",
        "name_prefix": "Ms.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016877",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11016877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.