SHANNON L BEARDSLEY


Address: 3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252
Phone: 9043995550

SHANNON L BEARDSLEY (NPI# 1649292954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649292954
Entity Type Individual
Full Name SHANNON L BEARDSLEY
Credential MD
Practice Address 3599 University Blvd S
Building 300
Jacksonville
FL 32216-4252
Practice Telephone 9043995550
Practice Fax Number 9043464334
Mailing Telephone 9043995550
Mailing Fax Number 9043464334
Enumeration Date 2006-07-24
Last Update Date 2017-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
ME70257 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS 37861 01
FL 269418200 05
GA 248029216A 05

Office Location

Street Address 3599 UNIVERSITY BLVD S
BUILDING 300
City JACKSONVILLE
State FL
Zip Code 32216-4252

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578568952 Dawn Nichelle Rosado Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2005-06-14
1568061158 Azucena Crosbie Social Worker 3599 University Blvd S, Jacksonville, FL 32216-4252 2020-10-23
1033735139 Kristen Duncan Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2020-06-24
1336763184 Amanda Ault Occupational Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2020-06-07
1699309989 Christina Brown Nurse Practitioner 3599 University Blvd S, Jacksonville, FL 32216-4252 2020-02-26
1396383949 Abby Maillet Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-12-13
1760034383 Lauren Campbell Vann Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-07-13
1740842178 Charmaine Uy Occupational Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-07-06
1871155317 Michael Braun Occupational Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-07-05
1023670775 Alys Cook Physical Therapist 3599 University Blvd S, Jacksonville, FL 32216-4252 2019-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316596471 Summerlin Imaging Center LLC Radiology 3550 University Blvd S Ste 102, Jacksonville, FL 32216-4227 2019-09-10
1275038671 William Austin Forshee Radiology 655 W 8th St Fl 2, Jacksonville, FL 32209-6511 2018-03-27
1316449267 F&s Radiology, P.C. Radiology 10045 Richton Ct, Jacksonville, FL 32246-1885 2018-03-07
1679025522 Diagnostic Imaging Partners Radiology 2000 Brabham Avenue, Suite 110, Jacksonville, NC 28546 2016-10-26
1689052359 Coastal Vein & Vascular Institute, LLC Radiology 7741 Point Meadows Dr, Unit 104-106, Jacksonville, FL 32256-9182 2015-05-13
1316385024 Matthew Hal Jenson Radiology 655 W 8th St # C-90, Jacksonville, FL 32209-6511 2013-06-05
1740557917 Rmed LLC Radiology 4348 Southpoint Blvd., Suite 100c, Jacksonville, FL 32216-0903 2011-11-16
1952618324 Edgardo Alberto Agrait-bertran Radiology 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 2010-09-08
1477788982 David A Walker Md Pa Radiology 8040 Woodpecker Trl, Jacksonville, FL 32256-7333 2009-05-28
1245465343 Kyle Hayden Radiology 1303 Greenridge Rd, Jacksonville, FL 32207-5334 2009-05-19
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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