Individual provider Active NPI

Sierra Shankle

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1891339776
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11004676 Issued in FL
Practice address
131 N Oakwood Ave # 135
Brandon, FL 33510-4629
Phone
(813) 603-0459
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004676 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11004676 FL Primary

Addresses

Primary practice location

131 N Oakwood Ave # 135
Brandon, FL 33510-4629

Mailing address

131 N Oakwood Ave # 135
Brandon, FL 33510-4629
Phone (813) 603-0459

Other practice location 1

106 W Windhorst Rd
Brandon, FL 33510-2455
Phone (813) 373-9531

Other practice location 2

12200 Cortez Blvd
Brooksville, FL 34613-2630
Phone (813) 373-9531

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
I20220409000221 FL Practitioner - Nurse Practitioner 1557757036 Reassigns benefits to 1 organization
Practice locations: Brandon, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004676FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Psychiatric Group LLC CurrentSince Oct 3, 2023 Accepting new patients

Locations

106 W Windhorst Rd
Brandon, FL 33510
Phone (678) 923-6025

12200 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-4562

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1891339776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N OAKWOOD AVE # 135",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104629",
            "telephone_number": "813-603-0459",
            "fax_number": "813-608-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N OAKWOOD AVE # 135",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104629",
            "telephone_number": "813-603-0459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 W Windhorst Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335102455",
            "country_code": "US",
            "telephone_number": "813-373-9531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346132630",
            "country_code": "US",
            "telephone_number": "813-373-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKLE",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004676",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.