SHEPHERD LEE BEASLEY (NPI# 1518016492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518016492 |
| Entity Type | Individual |
| Full Name | SHEPHERD LEE BEASLEY |
| Credential | C.PED |
| Practice Address |
2311 Santa Barbara Blvd Suite 105 Cape Coral FL 33991-4394 |
| Practice Telephone | 2394583360 |
| Practice Fax Number | 2392421095 |
| Mailing Telephone | 2394583360 |
| Mailing Fax Number | 2392421095 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | PED129 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2311 SANTA BARBARA BLVD SUITE 105 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33991-4394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487848206 | Black Eyed Peas Investments, Inc. | Durable Medical Equipment & Medical Supplies | 2311 Santa Barbara Blvd, Suite 105, Cape Coral, FL 33991-4394 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| 1518509975 | Neliudis Navarro Lores | Nurse Practitioner | 1814 Sw 23rd Ct, Cape Coral, FL 33991 | 2019-10-16 |
| 1487117388 | Johner Therapy Inc | Physical Therapist | 58 Nicholas Pkwy W #105, Cape Coral, FL 33991 | 2019-04-09 |
| 1184176901 | Gerta Avdia | Pharmacist | 611 Old Burnt Store Rd South, Cape Coral, FL 33991 | 2016-10-27 |
| 1285038109 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 301 Sw Pine Island Road, Cape Coral, FL 33991 | 2014-10-21 |
| 1225442676 | Gulf Coast Family Care, Plc | Nurse Practitioner | 814 Sw Pine Island Road, Suite 306, Cape Coral, FL 33991 | 2014-06-13 |
| 1760731848 | Florida Alf, Inc | Clinic/Center | 1318 Santa Barbara Blvd, Cape Coral, FL 33991 | 2012-09-05 |
| 1952574832 | Michael Anthony Fritz | Physical Therapist | 517 S.w. 8th Street, Cape Coral, FL 33991 | 2008-04-10 |
| 1306982350 | Dawn Marie Galbreath | Registered Nurse | 1002 Sw 9th Avenue, Cape Coral, FL 33991 | 2007-01-29 |
| Find all providers in zip 33991 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023444361 | Jay J Rhodes | Orthotic Fitter | 621 Cape Coral Pkwy E, Suite 1, Cape Coral, FL 33904-7515 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265901110 | Elite Care Medical Supplies LLC | Orthotic Fitter | 1890 Kingsley Ave Ste. 114, Orange Park, FL 32073 | 2018-11-21 |
| 1023523743 | Charles Smith IIi | Orthotic Fitter | 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 | 2017-12-04 |
| 1386906360 | Kyle Smith | Orthotic Fitter | 2401 Executive Plaza Rd, Suite 1, Pensacola, FL 32504-8277 | 2012-06-14 |
| 1881928331 | Scott Philip Bransdorf | Orthotic Fitter | 1290 N Federal Hwy, Pompano Beach, FL 33062-3705 | 2009-09-30 |
| 1497939573 | David Rodney Marshall | Orthotic Fitter | 585 State Road 13, Suite 100, Fruit Cove, FL 32259-3175 | 2007-12-24 |
| 1003036633 | Paul Weiner | Orthotic Fitter | 7036 W Palmetto Park Rd Ste 59, Boca Raton, FL 33433-3404 | 2007-04-26 |
| 1851427363 | Harris Comfort Shoes Inc | Orthotic Fitter | 406 Via De Palma, Boca Raton, FL 33432 | 2007-02-26 |
| 1659426187 | A & D Shoes Inc | Orthotic Fitter | 888 Colorado Avenue, Stuart, FL 34994 | 2007-01-24 |
| 1316000292 | Eliane Cave Armand | Orthotic Fitter | 9010 Sw 137th Avenue, Suite 216, Miami, FL 33186-1438 | 2006-12-19 |
| 1932285178 | Eda Susan Renieri | Orthotic Fitter | 517 East Strawbridge Ave, Melbourne, FL 32901 | 2006-10-31 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33991 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.