Active NPI
Shawn Greenan
- Acupuncturist
- Indialantic, FL
National Provider Identifier
1588140362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 3941
- Practice address
- 1400 N Hwy A1A Ste 105
Indialantic, FL 32903-2736 - Phone
- (321) 212-7514
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 3941 | FL | Primary |
Addresses
Primary practice location
1400 N Hwy A1A Ste 105
Indialantic, FL 32903-2736
Mailing address
2365 Abalone Ave
Indialantic, FL 32903-2503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3941 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1588140362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 ABALONE AVE",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329032503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N HWY A1A STE 105",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329032736",
"telephone_number": "321-212-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENAN",
"first_name": "SHAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "3941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indialantic, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.