Shirley Ann Arline

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

683297196 Issued in FL

Practice address

2331 Lane Ave S
Jacksonville, FL 32210-3703

Phone

(904) 434-5864

Fax

(904) 683-2821

NPI assigned

Dec 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shirley Jones Dupree Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1891098737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103703",
            "telephone_number": "904-434-5864",
            "fax_number": "904-683-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103703",
            "telephone_number": "904-434-5864",
            "fax_number": "904-683-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARLINE",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "683297196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "DUPREE",
            "middle_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Arlington Dental Center, P. a.
• Arlington Dental Holdings Inc
• Arlington Dialysis Center LLC

• Community Health Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.