Shelby H Cline MD PA D/B/a Sunshine Pediatrics of St Augustine

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SHELBY H CLINE MD PA D/B/A SUNSHINE PEDIATRICS OF ST AUGUSTINE

Practice address

101 Whitehall Dr Ste 108
Saint Augustine, FL 32086-5268

Phone

(904) 814-2207

NPI assigned

Feb 28, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Manucy

Title

Office Manager

Phone

(904) 615-1794

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ancient City Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ancient City Pediatrics

  dba DBA Sunshine Pediatrics of St Augustine

  • Pediatrics Physician
  • St Augustine, FL
  • NPI 1053598292
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelby H Cline, MD

  • Pediatrics Physician
  • St Augustine, FL
  • NPI 1508920901
  NPD (past)
• Kristin Goebel

  • Pediatric Nurse Practitioner
  • St Augustine, FL
  • NPI 1265316897
  NPD (past)
• Victoria Hand

  • Family Nurse Practitioner
  • St Augustine, FL
  • NPI 1073343307
  NPD (past)

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1902663735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WHITEHALL DR STE 108",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865268",
            "telephone_number": "904-615-1794",
            "fax_number": "904-341-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WHITEHALL DR STE 108",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865268",
            "telephone_number": "904-814-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY H CLINE MD PA D/B/A SUNSHINE PEDIATRICS OF ST AUGUSTINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "MANUCY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-615-1794"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleigh Morgan Shaver, PA-C
• Holly Ann Shaw, PT, DPT
• Shazia Bashir MD PLLC (Whole Health Oncology)
• Suzanne Welsh Shea, LCSW
• Paul Sheikewitz, MD
• Megan Shellenberger
• Matthew James Sheltz, DPT
• Sherri Lee Maetozo MD PA
• Sherry V, Risch, PH.D,. P.a.
• Karishma Sheth, DMD

• Pediatrics Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.