Individual provider Active NPI

Shawn Darmond Homans, SPORTS MEDICINE SPEC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
National Provider Identifier
1780046177
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
IFPA CERTIFICATION Issued in FL
Practice address
13539 N Florida Ave
Tampa, FL 33613-3203
Phone
(813) 961-0595
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X IFPA CERTIFICATION FL Primary

Addresses

Primary practice location

13539 N Florida Ave
Tampa, FL 33613-3203

Mailing address

12903 Woodleigh Ave
Tampa, FL 33612-3976
Phone (813) 334-8787

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

State licenses

LicenseStateTypeSpecialty
IFPA CERTIFICATIONFLMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1780046177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 WOODLEIGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123976",
            "telephone_number": "813-334-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13539 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133203",
            "telephone_number": "813-961-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMANS",
        "first_name": "SHAWN",
        "middle_name": "DARMOND",
        "name_prefix": "Mr.",
        "credential": "SPORTS MEDICINE SPEC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "IFPA CERTIFICATION",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.