Individual provider Active NPI

Shawna Ann Doran, A.R.N.P.

  • Family Nurse Practitioner
  • Alachua, FL
National Provider Identifier
1992736110
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1557262 Issued in FL
Practice address
14415 NW 144TH PL
Alachua, FL 32615-5270
Phone
(352) 871-1995
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 ARNP1557262 FL Primary

Addresses

Primary practice location

14415 NW 144TH PL
Alachua, FL 32615-5270

Mailing address

6228 NW 43Rd St
Ste B
Gainesville, FL 32653-8871
Phone (352) 871-1995

Other identifiers 1

IdentifierTypeStateIssuer
Y6565XOtherBCBS

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
I20120914000055 FL Practitioner - Nurse Practitioner 0941217319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Florida Internal Medicine PAGroup PAC ID 7810092681, 3 clinicians

Practice addresses (Care Compare)

6228 NW 43Rd St
Suite B
Gainesville, FL 32653-8871
Phone (352) 332-6680

Hospital & facility affiliations

  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP1557262FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Internal Medicine PA CurrentSince Jan 1, 2016 Accepting new patients
Alachua Integrative Medicine, Inc Family PastSince Jan 1, 2003 Accepting new patients
Ray C Wunderlich Jr M.D. P.a. Past Accepting new patients

Locations

6228 NW 43rd St
#B
Gainesville, FL 32653
Phone (352) 332-6680

6228 NW 43rd St
Ste B
Gainesville, FL 32653
Phone (352) 332-6680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACDCA

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.

Hospital & facility affiliations 8

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1992736110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 NW 43RD ST",
            "address_2": "STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326538871",
            "telephone_number": "352-871-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 NW 144TH PL",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326155270",
            "telephone_number": "352-871-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "SHAWNA",
        "middle_name": "ANN",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1557262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y6565X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alachua, FL

Sources for this page

Verify at the official NPI Registry.