Individual provider Active NPI

Shanice Baker

  • Family Nurse Practitioner
  • Celebration, FL
National Provider Identifier
1700628682
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9452549 Issued in FL
Practice address
410 Celebration PL Ste 208
Celebration, FL 34747-5434
Phone
(877) 800-0239
Fax
(407) 566-2499
NPI assigned
Jun 11, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 9452549 FL Primary

Addresses

Primary practice location

410 Celebration PL Ste 208
Celebration, FL 34747-5434

Mailing address

410 Celebration PL Ste 208
Celebration, FL 34747-5434
Phone (877) 800-0239

Other practice location 1

1997 Daniles Road
Winter Garden, FL 34787-4599
Phone (877) 800-0239

Other practice location 2

2209 North Boulevard West
Ste C
Davenport, FL 33837-8903
Phone (877) 800-0239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240731001914 FL Practitioner - Nurse Practitioner 1355888017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

410 Celebration PL
Suite 208
Celebration, FL 34747-5434
Phone (561) 300-2410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9452549FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Sep 11, 2024 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

112 Park Place Blvd
Davenport, FL 33837
Phone (407) 343-1825

2209 North Blvd W
Ste C
Davenport, FL 33837
Phone (877) 800-0239

1201 E Oak St
Kissimmee, FL 34744

410 Celebration Pl
Ste 208
Kissimmee, FL 34747
Phone (877) 800-0239

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 487-2167

1997 Daniels Rd
Winter Garden, FL 34787
Phone (407) 566-9700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shanice.baker.1@2183.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1700628682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 208",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 208",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 Daniles Road",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347874599",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 North Boulevard West",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378903",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SHANICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9452549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.