Individual provider Active NPI

April Marie Shadeed, ARNP, FNP-C

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1932619129
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9297886 Issued in FL
Practice address
311 N Clyde Morris Blvd Ste 320
Daytona Beach, FL 32114-2756
Phone
(386) 255-6116
Fax
(386) 254-8945
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9297886 FL Primary

Addresses

Primary practice location

311 N Clyde Morris Blvd Ste 320
Daytona Beach, FL 32114-2756

Mailing address

311 N Clyde Morris Blvd Ste 320
Daytona Beach, FL 32114-2756
Phone (386) 255-6116

Other names 1

  • April Marie Bowman 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
I20171209000093 FL Practitioner - Nurse Practitioner 1850659343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Physicians, P.a.Group PAC ID 6406892926, 3 clinicians

Practice addresses (Care Compare)

311 N Clyde Morris Blvd
Suite 320
Daytona Beach, FL 32114-2756
Phone (386) 255-5331

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9297886FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Physicians, P.a. CurrentSince Oct 21, 2017 Accepting new patients

Locations

311 N Clyde Morris Blvd
Ste 320
Daytona Beach, FL 32114
Phone (386) 255-5331

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1932619129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD STE 320",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142756",
            "telephone_number": "386-255-6116",
            "fax_number": "386-254-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD STE 320",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142756",
            "telephone_number": "386-255-6116",
            "fax_number": "386-254-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADEED",
        "first_name": "APRIL",
        "middle_name": "MARIE",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9297886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "BOWMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.