Individual provider Active NPI

Shelina Paradis, ARNP

  • Gerontology Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1861772527
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9202808 Issued in FL
Practice address
101 E Florida Ave
Melbourne, FL 32901-8301
Phone
(321) 984-4677
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9202808 FL Primary

Addresses

Primary practice location

101 E Florida Ave
Melbourne, FL 32901-8301

Mailing address

7904 S Highway A1A
Melbourne Beach, FL 32951-3911
Phone (321) 591-0100

Other identifiers 1

IdentifierTypeStateIssuer
004035500MedicaidFL

Other names 1

  • Shelina Irving Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111027000650 FL Practitioner - Nurse Practitioner 9830362391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Robert Addington II DO LLCGroup PAC ID 7911993449, 2 clinicians

Practice addresses (Care Compare)

301 Sheridan Rd
Melbourne, FL 32901-3160
Phone (321) 951-8137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juan R Lebron LLC CurrentSince Apr 1, 2018 Accepting new patients
W Robert Addington II DO LLC CurrentSince Jul 11, 2025 Accepting new patients

Locations

301 Sheridan Rd
Melbourne, FL 32901
Phone (321) 951-8137

101 E Florida Ave
Melbourne, FL 32901
Phone (321) 233-4028

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1861772527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 S HIGHWAY A1A",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513911",
            "telephone_number": "321-591-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FLORIDA AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018301",
            "telephone_number": "321-984-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADIS",
        "first_name": "SHELINA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9202808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004035500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELINA",
            "last_name": "IRVING",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.