Shield of Colors LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SHIELD OF COLORS LLC

Practice address

440 S Orange Blossom TRL
Orlando, FL 32805-2559

Phone

(407) 967-2944

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Taneka Irvinm, MBA

Title

Founder/Owner

Phone

(407) 967-2944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1629794219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550866",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328550866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052559",
            "telephone_number": "407-967-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD OF COLORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "IRVINM",
        "authorized_official_first_name": "TANEKA",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "407-967-2944",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shruti Kishor Shettigar, MD
• Eric Shiar, DDS
• Renae Shibata, MD
• Tracy Shibla, APRN
• Whitney Brooke Shidler, CNM
• Ella Dawn Marie Shields
• Nastassia Elena Shields, DMD
• Lauren Elizabeth Shifflett, FNP-BC
• Jacqueline Danielle Shiftlett, PTA
• Alexandra Leigh Shigo, PA-C

• Prosthetic/Orthotic Supplier in Orlando, FL
• Providers in Orlando, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.