Individual provider Active NPI

Shalan Nattoya Ross, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1649984352
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023864 Issued in FL
Practice address
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone
(000) 000-0000
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11023864 FL Primary

Addresses

Primary practice location

12280 Lake Underhill Rd
Orlando, FL 32825-5009

Mailing address

1695 NW 65TH Ave
Margate, FL 33063-2610
Phone (954) 681-5112

Other names 1

  • Shalan Nattoya Blair Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230217000000 FL Practitioner - Nurse Practitioner 3779955984 Reassigns benefits to 2 organizations
I20251126002896 OH Practitioner - Nurse Practitioner 3779955984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians

Practice addresses (Care Compare)

12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone (866) 389-2727

4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr GS Urgent Care LLC CurrentSince Jan 11, 2023 Accepting new patients
Minuteclinic LLC Family CurrentSince Feb 14, 2025 Accepting new patients
Xpress Urgent Care, LLC. CurrentSince Jul 10, 2023 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Sep 15, 2025 Accepting new patients
Xpress Urgent Care, LLC. CurrentSince Jul 10, 2023 Accepting new patients

Locations

1950 W Hillsboro Blvd
Ste 101
Deerfield Beach, FL 33442
Phone (954) 408-8962

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

7229 W Oakland Park Blvd
Ste 101
Lauderhill, FL 33313
Phone (954) 824-2616

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

12280 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 273-3284

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1649984352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NW 65TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330632610",
            "telephone_number": "954-681-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12280 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255009",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHALAN",
        "middle_name": "NATTOYA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALAN",
            "last_name": "BLAIR",
            "middle_name": "NATTOYA",
            "credential": "BLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.