SHONNA P BALDWIN (NPI# 1598129991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598129991 |
| Entity Type | Individual |
| Full Name | SHONNA P BALDWIN |
| Other Name | SHONNA PACZOSA |
| Credential | ARNP |
| Practice Address |
7335 Gladiolus Dr Fort Myers FL 33908 |
| Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
| Practice Telephone | 2399851925 |
| Practice Fax Number | 2393216044 |
| Mailing Telephone | 5025880325 |
| Mailing Fax Number | 5025880326 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3011809 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300012198 | 05 | |
| FL | AVMED | 398535 | 01 |
| FL | AETNA | 4939267 | 01 |
| FL | BCBS | ZNQDD | 01 |
| FL | OPTIMUM | P980558 | 01 |
| FL | CIGNA | 8846255 | 01 |
| FL | WELLCARE-MEDICARE/MEDICAID | 1248337 | 01 |
| FL | FREEDOM | P1046566 | 01 |
| FL | 017463500 | 05 | |
| FL | RR MEDICARE | P01723488 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7335 Gladiolus Dr, Fort Myers, FL 339085101 | 2399851925 | 2393216044 |
| Street Address |
7335 GLADIOLUS DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992770507 | Robert Scott Gilbert | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2006-02-18 |
| 1841841822 | Anisa Meghan Jallal | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-22 |
| 1275181265 | Rachel Michele Bautsch | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-03 |
| 1679998082 | Genesiscare Usa of Florida LLC | Internal Medicine | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2014-02-21 |
| 1558703652 | Harry Tsai Md LLC | Urology | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2013-07-18 |
| 1609142264 | Krunal Bharat Patel | Internal Medicine | 7335 Gladiolus Dr, Fort Myers, FL 33908 | 2012-03-28 |
| 1457675316 | Adam James Quarles | Nurse Practitioner | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2010-03-22 |
| 1336337591 | Andrew I Horowitz | Urology | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2007-10-11 |
| 1891985669 | Emily Day | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2007-07-27 |
| 1255531786 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 7335 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330714 | Renuka Jackson | Nurse Practitioner | 6150 Diamond Centre Ct Unit 100, Fort Myers, FL 33912-4367 | 2020-06-09 |
| 1386101798 | Debra Lee Sicilian | Nurse Practitioner | 2327 Jeffcott St, Fort Myers, FL 33901-5211 | 2019-02-22 |
| 1619452877 | Kamila Shurii Tursi | Nurse Practitioner | 6631 Orion Dr Ste 110, Fort Myers, FL 33912-4333 | 2018-10-03 |
| 1003396714 | Carmalee Martin | Nurse Practitioner | 9341 Via San Giovani St, Fort Myers, FL 33905-5564 | 2018-08-21 |
| 1740779701 | Dedra Dawn Coop | Nurse Practitioner | 13300 S Cleveland Ave Ste 56, Fort Myers, FL 33907-3871 | 2018-05-05 |
| 1073039087 | Ruth Milien Jonathas | Nurse Practitioner | 16420 Healthpark Commons Dr Ste 100, Fort Myers, FL 33908-9621 | 2017-08-21 |
| 1396283578 | Jerry Hernandez Sr. | Nurse Practitioner | 12731 World Plaza Ln Bldg 83, Fort Myers, FL 33907-4081 | 2017-02-07 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| 1942752134 | Lauren Chandler Masters | Nurse Practitioner | 14300 Riva Del Lago Dr Apt 704, Fort Myers, FL 33907-7804 | 2016-11-04 |
| 1467706192 | Kerry Spillane | Nurse Practitioner | 9981 S. Healthpark Dr, Fort Myers, FL 33908-3618 | 2012-11-02 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.