Individual provider Active NPI

Shawn Thorpe

  • Case Manager/Care Coordinator
  • Jacksonville, FL
National Provider Identifier
1881085991
Registry record updated Feb 11, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4600 Touchton Rd E
BLDG. 100 Ste. 150
Jacksonville, FL 32246-8299
Phone
(904) 647-1555
Fax
(877) 583-2928
NPI assigned
Feb 11, 2015
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

4600 Touchton Rd E
BLDG. 100 Ste. 150
Jacksonville, FL 32246-8299

Mailing address

4600 Touchton Rd E
BLDG. 100 Ste. 150
Jacksonville, FL 32246-8299
Phone (904) 647-1555

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1881085991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 TOUCHTON RD E",
            "address_2": "BLDG. 100 STE. 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468299",
            "telephone_number": "904-647-1555",
            "fax_number": "877-583-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 TOUCHTON RD E",
            "address_2": "BLDG. 100 STE. 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468299",
            "telephone_number": "904-647-1555",
            "fax_number": "877-583-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.