Active NPI
Shelby Lynne Ransdell Sookdeo, PA-C
- Physician Assistant
- Clermont, FL
National Provider Identifier
1972059038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9116652
- Practice address
- 1615 E State Highway 50
Suite 200
Clermont, FL 34711 - Phone
- (352) 404-4463
- NPI assigned
- Aug 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9116652 | FL | Primary |
| Physician Assistant | 363A00000X | PA0004370 | CO |
Addresses
Primary practice location
1615 E State Highway 50
Suite 200
Clermont, FL 34711
Mailing address
135 Blackstone Creek Rd
Groveland, FL 34736-3622
Phone (719) 205-5549
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9116652 | Other | FL | FLORIDA LICENSE |
| 15907394 | Other | CAQH | |
| 1099163 | Other | NCCPA CERTIFICATION |
Other names 1
- Shelby Lynne Ransdell
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 E Hwy 50
Suite 200
Clermont, FL 34711-5124
Phone (352) 404-4463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0004370 | CO | MD | Physician Assistant |
| 9116652 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solantic of Jacksonville, LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Orlando, FL
- NPI 1306367503
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1689812109
-
- Urgent Care Clinic/Center
- Gainesville, FL
- NPI 1558595223
-
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
-
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1851344378
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1003172628
-
- Urgent Care Clinic/Center
- Yulee, FL
- NPI 1902574635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1972059038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 BLACKSTONE CREEK RD",
"city": "GROVELAND",
"state": "FL",
"postal_code": "347363622",
"telephone_number": "719-205-5549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 E STATE HIGHWAY 50",
"address_2": "SUITE 200",
"city": "CLERMONT",
"state": "FL",
"postal_code": "34711",
"telephone_number": "352-404-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOKDEO",
"first_name": "SHELBY",
"middle_name": "LYNNE RANSDELL",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-29",
"last_updated": "2023-05-22",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9116652",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA0004370",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "PA9116652",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15907394",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA CERTIFICATION",
"identifier": "1099163",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "RANSDELL",
"middle_name": "LYNNE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.