Individual provider Active NPI

Nancy C Shearey, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1982114609
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9242363 Issued in FL
Practice address
141 Terra Mango Loop Ste B
Orlando, FL 32835-8510
Phone
(074) 730-9027
NPI assigned
Oct 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 ARNP9242363 FL Primary

Addresses

Primary practice location

141 Terra Mango Loop Ste B
Orlando, FL 32835-8510

Mailing address

141 Terra Mango Loop Ste B
Orlando, FL 32835-8510
Phone (407) 730-9027

Other names 1

  • Nancy C Eaton 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
I20180212002355 FL Practitioner - Nurse Practitioner 4981964939 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9242363FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates, P.a. CurrentSince Jan 9, 2018 Accepting new patients
Christelle Renta LLC Family CurrentSince Mar 5, 2023 Accepting new patients
Pulmonary Medicine Associates PastSince Jun 7, 2020 Accepting new patients

Locations

10101 W Colonial Dr
Ste 102
Ocoee, FL 34761
Phone (407) 895-9060

141 Terra Mango Loop
Ste B
Orlando, FL 32835
Phone (407) 587-6406

Organizations & group practices 3

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": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1982114609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TERRA MANGO LOOP STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358510",
            "telephone_number": "407-730-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TERRA MANGO LOOP STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358510",
            "telephone_number": "074-730-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAREY",
        "first_name": "NANCY",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-08",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9242363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "EATON",
            "middle_name": "C",
            "credential": "RN, LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.