Individual provider Active NPI

Shannon Dolinger, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1700649837
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11030964 Issued in FL
Practice address
2401 University Pkwy Ste 104
Sarasota, FL 34243-2894
Phone
(239) 690-6906
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11030964 FL Primary

Addresses

Primary practice location

2401 University Pkwy Ste 104
Sarasota, FL 34243-2894

Mailing address

7430 Sunshine Skyway LN S Apt 803
Saint Petersburg, FL 33711-4985

Other practice location 1

7430 Sunshine Skyway Ln S Apt 803
Saint Petersburg, FL 33711-4985
Phone (863) 287-3891

Other practice location 2

360 Clearwater Largo Rd N
Largo, FL 33770-2335
Phone (727) 766-0503

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
I20250117002167 FL Practitioner - Nurse Practitioner 4183153208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2401 University Pkwy
Suite 104
Sarasota, FL 34243-2894
Phone (833) 362-7935

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030964FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Jan 10, 2025 Accepting new patients
Dna Comprehensive Therapy Services, LLC CurrentSince Jan 10, 2025 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

2401 University Pkwy
Ste 104
Sarasota, FL 34243
Phone (941) 358-6777

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: shannon.dolinger.1@13142.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1700649837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 SUNSHINE SKYWAY LN S APT 803",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337114985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 104",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432894",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7430 Sunshine Skyway Ln S Apt 803",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337114985",
            "country_code": "US",
            "telephone_number": "863-287-3891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Clearwater Largo Rd N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702335",
            "country_code": "US",
            "telephone_number": "727-766-0503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLINGER",
        "first_name": "SHANNON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11030964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.