Active NPI
Aaron M Shevlin, DPM
- Podiatrist
- Port St Lucie, FL
National Provider Identifier
1639157183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO1009
- Practice address
- 1696 SE Hillmoor Dr
Ste B
Port St Lucie, FL 34952-7699 - Phone
- (772) 335-1200
- Fax
- (772) 335-1292
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO1009 | FL | Primary |
Addresses
Primary practice location
1696 SE Hillmoor Dr
Ste B
Port St Lucie, FL 34952-7699
Mailing address
1696 SE Hillmoor Dr
Suite B
Port St Lucie, FL 34952-7699
Phone (772) 335-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041121300 | Medicaid | FL |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1639157183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1696 SE HILLMOOR DR",
"address_2": "SUITE B",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527699",
"telephone_number": "772-335-1200",
"fax_number": "772-335-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1696 SE HILLMOOR DR",
"address_2": "STE B",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527699",
"telephone_number": "772-335-1200",
"fax_number": "772-335-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEVLIN",
"first_name": "AARON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO1009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041121300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
- Sheridan Radiology Services of Central Florida, Inc.
- Sheridan Radiology Services of Kentucky, Inc
- Sheridan Radiology Services of South Florida, Inc.
- Sheridan Radiology Services of Virginia, Inc
- Shanne Kayanne Sherman
- Denise Shillingsburg
- Cheryl Shine
- Stuart S Shipe, R.PH., D.O.M.
- Karen Shipper
- Sarah Shonty
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.