Individual provider Active NPI

Shaqwana Latrice McCottry, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1578074969
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9352495 Issued in FL
Practice address
7350 SW 60TH Ave
Ocala, FL 34476-6428
Phone
(352) 854-5530
NPI assigned
Oct 12, 2017
Last updated
Oct 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9352495 FL Primary

Addresses

Primary practice location

7350 SW 60TH Ave
Ocala, FL 34476-6428

Mailing address

30 Oak Cir
Ocala, FL 34472-3142
Phone (518) 258-8587

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
I20180124001002 FL Practitioner - Nurse Practitioner 1254690001 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9352495FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Florida Health Center, Inc CurrentSince Jan 5, 2020 Accepting new patients

Locations

1025 SW 1st Ave
Ocala, FL 34471
Phone (352) 877-7140

6041 SW 54th St
Ste 100
Ocala, FL 34474
Phone (352) 854-0700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1578074969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OAK CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344723142",
            "telephone_number": "518-258-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766428",
            "telephone_number": "352-854-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOTTRY",
        "first_name": "SHAQWANA",
        "middle_name": "LATRICE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9352495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.