Individual provider Active NPI

Georgia Shannon

  • Attendant Care Provider
  • Orlando, FL
National Provider Identifier
1639611833
Registry record updated Nov 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
5515 Clarcona Pointe Way Apt 707
Orlando, FL 32810-3275
Phone
(941) 565-9949
NPI assigned
Nov 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL
Adult Companion 372600000X FL
Attendant Care Provider 3747A0650X FL Primary
Personal Care Attendant 3747P1801X FL
Home Health Aide 374U00000X FL

Addresses

Primary practice location

5515 Clarcona Pointe Way Apt 707
Orlando, FL 32810-3275

Mailing address

5515 Clarcona Pointe Way Apt 707
Orlando, FL 32810-3275
Phone (941) 565-9949

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

NPI Registry JSON

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478390400000",
    "number": "1639611833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 CLARCONA POINTE WAY APT 707",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328103275",
            "telephone_number": "941-565-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 CLARCONA POINTE WAY APT 707",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328103275",
            "telephone_number": "941-565-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "GEORGIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-06",
        "last_updated": "2016-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2016; 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.