Active NPI
Shana L. Carey, ARNP
- Nurse Practitioner
- Orange Park, FL
National Provider Identifier
1821026428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9289411
- Practice address
- 2021 Kingsley Ave Ste 109
Orange Park, FL 32073-5128 - Phone
- (904) 295-0730
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9289411 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 9289411 | FL | |
| Nurse Practitioner | 363L00000X | 9289411 | FL | Primary |
Addresses
Primary practice location
2021 Kingsley Ave Ste 109
Orange Park, FL 32073-5128
Mailing address
205 Balearics Dr
St Augustine, FL 32086-1885
Phone (615) 513-0002
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13829 | TN | MD | Physical Therapist |
| 9289411 | FL | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- shana.carey@ppoa.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1821026428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BALEARICS DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320861885",
"telephone_number": "615-513-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 KINGSLEY AVE STE 109",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735128",
"telephone_number": "904-295-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "SHANA",
"middle_name": "L.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9289411",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9289411",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9289411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
- Victoria C. Carbajal
- Ryan Card, OTR/L
- Carenodes of Florida LLC
- Cares Consulting Services LLC, Dba Pinnacle NP Mobile Health
- Caretenders of Jacksonville, LLC (Apex Home Healthcare)
- Caroline Elizabeth Carlin
- Carlos L. Esquivia-Munoz, M.D.P.a.
- Cheryl Carlyon, L.M.H.C.
- Carole J Crane PHD PA
- Bridget J Caron, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.