Hampton Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME53102 Issued in FL

Legal business name

HAMPTON PEDIATRICS PA

Practice address

11512 Lake Mead Ave Unit 201
Jacksonville, FL 32256-9688

Phone

(904) 998-1448

Fax

(904) 998-1450

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Latha Shivashankar, M.DNPI 1801845607

Title

President

Phone

(904) 998-1448

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latha Shivashankar, MD

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1801845607
  NPD (past) Authorized official

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1770039687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569688",
            "telephone_number": "904-998-1448",
            "fax_number": "904-998-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569688",
            "telephone_number": "904-998-1448",
            "fax_number": "904-998-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "SHIVASHANKAR",
        "authorized_official_first_name": "LATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-998-1448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME53102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ja'Ron Hammond
• L Jeanne Hammond, ITDS
• Sean L Hammond
• William Adam Hammond, M.D.
• Arti Bhakta Hammonds, CRDH
• Adrienne Boyd Hampton, ARNP
• Sarah Jessica Hampton
• Taniko Hampton
• Hampton's Luxury Villas Inc
• Sydney Hamrick

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.