Madison Shockey

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11034761 Issued in FL

Practice address

5571 4TH St N
St Petersburg, FL 33703-2251

Phone

(727) 525-7852

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All Star Pediatrics, Inc.

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1518911643
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1619709060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10980 OAK ST NE UNIT 4205",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032251",
            "telephone_number": "727-525-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKEY",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shifting Tides Therapy LMSW, PLLC
• Bonnie Shimel, ISW
• Sean Shipton, P.T.
• Jenna Shively, MSW
• Adriana Lydia Shoaf
• Reba E Shoenfelt, ARNP
• Scott Shoenfelt, PHARMD
• April K Shook, D.C.
• Richard Deneen Shook, D.C.
• Aaron Shoopak, D.M.D.

• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.