Organization Active NPI

Debbie C. Sheneman NP-C Inc

  • Medical Specialty Clinic/Center
  • Bradenton, FL
National Provider Identifier
1639587728
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2221632 Issued in FL
Legal business name
DEBBIE C. SHENEMAN NP-C INC
Practice address
926 14TH St W
Bradenton, FL 34205-6646
Phone
(813) 759-3385
Fax
(813) 702-9477
NPI assigned
Aug 1, 2014
Organization subpart
Yes
Parent organization
DEBBIE C. SHENEMAN NP-C LLC HEALTHCARE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Debbie C. Sheneman, NP-C
Title
Owner
Phone
(941) 920-2842

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 2221632 FL Primary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X

Addresses

Primary practice location

926 14TH St W
Bradenton, FL 34205-6646

Mailing address

926 14TH St W
Bradenton, FL 34205-6646
Phone (813) 759-3385

Other identifiers 1

IdentifierTypeStateIssuer
013897500MedicaidFL

National Provider Directory

National Provider Directory
Part of
Debbie C Sheneman NP-C Inc

Locations

926 14th St W
Bradenton, FL 34205
Phone (813) 759-3385

1501 La Jolla Ave
Sun City Center, FL 33573
Phone (813) 401-7452

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1639587728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 14TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342056646",
            "telephone_number": "813-759-3385",
            "fax_number": "813-702-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 14TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342056646",
            "telephone_number": "813-759-3385",
            "fax_number": "813-702-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE C. SHENEMAN NP-C INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEBBIE C. SHENEMAN NP-C LLC HEALTHCARE CLINIC",
        "enumeration_date": "2014-08-01",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "SHENEMAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-920-2842",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "2221632",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013897500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.