Angela Marie Shattuck, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9220178 Issued in FL

Practice address

2816 Manatee Ave W
Bradenton, FL 34205-4237

Phone

(941) 744-1200

Fax

(941) 744-1500

NPI assigned

Aug 12, 2010

Last updated

Mar 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1770898850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054237",
            "telephone_number": "941-744-1200",
            "fax_number": "941-744-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054237",
            "telephone_number": "941-744-1200",
            "fax_number": "941-744-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATTUCK",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "9220178",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9220178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Sharp, D.D.S.
• Kassia Sharp, M.S.
• Hannah Sharpe
• Malery Shashidhara, MD
• Marissa Saladeen Shatkin, LMHC
• Amanda Shaw, MA, LMHC
• Lynne Mason Shay, M.A.
• Gregory C Shedlock
• Jennifer Sue Sheehan, COTA/L
• Rosabella Shek, MD

• Adult Health Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.