Individual provider Active NPI

Shawna Blume Hancock, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1992166409
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP 9344428 Issued in FL
Practice address
1507 S Hiawassee Rd
Orlando, FL 32835-5718
Phone
(407) 253-1000
Fax
(407) 253-1010
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP 9344428 FL Primary

Addresses

Primary practice location

1507 S Hiawassee Rd
Orlando, FL 32835-5718

Mailing address

1507 S Hiawassee Rd
Orlando, FL 32835-5718
Phone (407) 253-1000

Other names 1

  • Shawna Jo Kristen Blume 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
I20200211000714 FL Practitioner - Nurse Practitioner 0446686497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9344428FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Najmus Sehr Ansari PLC PastSince Jan 29, 2023 Accepting new patients
Orlando Pediatric Pulmonary and Sleep Associates PA Past Accepting new patients

Organizations & group practices 2

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1992166409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355718",
            "telephone_number": "407-253-1000",
            "fax_number": "407-253-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355718",
            "telephone_number": "407-253-1000",
            "fax_number": "407-253-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "SHAWNA",
        "middle_name": "BLUME",
        "credential": "APRN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP 9344428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "BLUME",
            "middle_name": "JO KRISTEN",
            "credential": "ARNP, CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.