SHAWN RENE WELLS (NPI# 1336706779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336706779 |
| Entity Type | Individual |
| Full Name | SHAWN RENE WELLS |
| Other Name | SHAWN RENE WRUBEL |
| Credential | ARNP |
| Practice Address |
120 Palencia Village Dr Ste 107 St Augustine FL 32095-8553 |
| Mailing Address |
Po Box 3266 St Augustine FL 32085-3266 |
| Practice Telephone | 9048193200 |
| Practice Fax Number | 9048194428 |
| Mailing Telephone | 9048194602 |
| Mailing Fax Number | 9048194426 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9257150 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 70 Turin Terrace, Suite 100, St Augustine, FL 32092 | 9048193000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891993127 | Shawn G Wells | Physician Assistant | 11501 Road 24, Cortez, CO 81321-8923 | 2007-07-09 |
| 1659579480 | Shawn Jeffrey Wells | Physical Therapist | 26 Asylum St, Milford, MA 01757 | 2007-07-03 |
| 1437666575 | Shawn Wells | Behavior Technician | 103a Lewis St, Fort Walton Beach, FL 32547-3142 | 2018-01-10 |
| Street Address |
120 PALENCIA VILLAGE DR STE 107 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32095-8553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073952909 | Meredith Johnston Brazell | Pediatrics | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2013-06-25 |
| 1023672573 | Flagler Professional Health Care Services, Inc. | Internal Medicine | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124299201 | Dental Health Group PC | Dentist | 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 | 2008-03-18 |
| 1932259405 | Thomas E Stakem | Dentist | 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 | 2007-01-10 |
| 1942390265 | Antonia Fuller | Registered Nurse | 354 Paseo Reyes Drive, Saint Augustine, FL 32095 | 2006-10-15 |
| 1740223023 | First Choice Phcy Svcs LLC | Pharmacy | 110 Cumberland Dr #305, St Augustine, FL 32095 | 2006-06-14 |
| 1174029201 | Aba Connection, LLC | Early Intervention Provider Agency | 23 Sol Ct, St Augustine, FL 32095 | 2018-04-05 |
| 1457437584 | Stanley A Cohen | Psychiatry & Neurology | 354 Paseo Reyes Drive, St Augustine, FL 32095 | 2006-10-31 |
| 1548576150 | Vicki Glabb | Counselor | 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 | 2010-08-20 |
| 1245770742 | Linda Gillis | Nurse Practitioner | 143 Portada Dr, St Augustine, FL 32095-1634 | 2017-03-02 |
| 1659821767 | Margo Slovis | Physical Therapist | 244 Vale Dr, St Augustine, FL 32095-4832 | 2016-10-12 |
| 1851909360 | Mammography Partners LLC | Clinic/Center | 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 | 2020-07-21 |
| Find all providers in zip 32095 | ||||
| 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 |
|---|---|---|---|---|
| 1295215531 | Vanessa Rutledge | Nurse Practitioner | 830 Copperhead Cir, St Augustine, FL 32092-2752 | 2018-08-16 |
| 1801394291 | Peter Richard Accorti | Nurse Practitioner | 3657 Gaines Rd, St Augustine, FL 32084-8503 | 2018-01-31 |
| 1033300280 | Allied Medical Professionals Inc | Nurse Practitioner | 121 Fonseca Dr, St Augustine, FL 32086-8867 | 2007-08-05 |
| 1942412481 | Anah Marks | Nurse Practitioner | 301 Health Park Blvd Ste 219, St Augustine, FL 32086-5795 | 2007-05-04 |
| 1255311528 | Judith Lynn Nichols | Nurse Practitioner | 105 Mariner Way, Ste 203, St Augustine, FL 32086 | 2006-01-20 |
| 1841759255 | Monica Antigua | Nurse Practitioner | 2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 | 2019-03-15 |
| 1295216414 | Ashley Baldwin Sauls | Nurse Practitioner | 419 Anastasia Blvd, St Augustine, FL 32080-4508 | 2018-08-25 |
| 1780161851 | Christine Moore | Nurse Practitioner | 300 Health Park Blvd Ste 5010, St Augustine, FL 32086-3705 | 2018-07-23 |
| 1710480900 | Christina Ellen Barr | Nurse Practitioner | 1 Saint Johns Medical Park Dr, St Augustine, FL 32086-5300 | 2018-03-14 |
| 1396117693 | Sonia Rae Reisdorf | Nurse Practitioner | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2015-10-26 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32095 |
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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.