Active NPI
Shantrell Jones
- Ophthalmology Physician
- Pensacola, FL
National Provider Identifier
1750008306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- NA
- Practice address
- 6190 N Davis Hwy
Pensacola, FL 32504-6969 - Phone
- (404) 301-2208
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NA | FL | Primary |
Addresses
Primary practice location
6190 N Davis Hwy
Pensacola, FL 32504-6969
Mailing address
4600 N Davis Hwy
Pensacola, FL 32503-2337
Phone (770) 790-0468
Other practice location 1
6190 N Davis Hwy
Pensacola, FL 32504-6969
Phone (404) 301-2208
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": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1750008306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032337",
"telephone_number": "770-790-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6190 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325046969",
"telephone_number": "404-301-2208"
}
],
"practiceLocations": [
{
"address_1": "6190 N Davis Hwy",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325046969",
"country_code": "US",
"telephone_number": "404-301-2208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "SHANTRELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.