MRS. SHANNON MURPHY CARRASCO (NPI# 1790142511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790142511 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MURPHY CARRASCO |
| Credential | ARNP |
| Practice Address |
26540 Ace Ave Ste 108c Leesburg FL 34748-8279 |
| Practice Telephone | 3523265281 |
| Practice Fax Number | 3523231761 |
| Mailing Telephone | 3523265281 |
| Mailing Fax Number | 3523231761 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9181013 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26540 ACE AVE STE 108C |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-8279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447523493 | Pablo Doldy Cardona | Family Medicine | 26540 Ace Ave Ste 108c, Leesburg, FL 34748-8279 | 2012-02-21 |
| 1578189981 | Amy Louise Sierra | Clinical Nurse Specialist | 26540 Ace Ave Ste 108c, Leesburg, FL 34748-8279 | 2020-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396285516 | Shekella Blanden | Nurse Practitioner | 174 Tallassee Trl, Leesburg, GA 31763-3770 | 2017-03-07 |
| 1558902163 | Juliana Rippy | Nurse Practitioner | 501 Medical Plaza Dr, Leesburg, FL 34748-7324 | 2019-10-04 |
| 1447762380 | Shane Bridgman | Nurse Practitioner | 501 Medical Plaza Dr Ste 102, Leesburg, FL 34748-7324 | 2017-11-01 |
| 1205362332 | Anna-marie M Roswold | Nurse Practitioner | 29320 Us Highway 27, Leesburg, FL 34748 | 2017-05-10 |
| 1033651203 | Am Gray Consulting | Nurse Practitioner | 44125 Woodridge Pkwy, Suite 220, Leesburg, VA 20176-6839 | 2016-11-04 |
| 1851622732 | Jennifer Lynn Sylvester | Nurse Practitioner | 823 S King St, Suite F, Leesburg, VA 20175-3915 | 2010-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. SHANNON MURPHY CARRASCO.
| 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.