MRS. SHANNON M HINCKLEY (NPI# 1982988150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982988150 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON M HINCKLEY |
| Credential | ARNP |
| Practice Address |
5950 S Florida Ave Lakeland FL 33813-2532 |
| Practice Telephone | 8636198441 |
| Practice Fax Number | 8636466579 |
| Mailing Telephone | 8636198441 |
| Mailing Fax Number | 8636466579 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9269235 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 203 Kingsway Rd, Ste A, Brandon, FL 335104679 | 8136555106 |
| Street Address |
5950 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477519155 | Daniel L Leviten | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2006-04-22 |
| 1922539436 | Lisa Ann Dinh | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2017-03-26 |
| 1699220079 | Jill Crutcher | Nurse Practitioner | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2016-08-16 |
| 1770944761 | Fiorella Queirolo Rodriguez | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2016-03-17 |
| 1093183378 | Annette Chilton | Lactation Consultant, Non-RN | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2015-09-03 |
| 1215227426 | Mary G Wagoner | Nurse Practitioner | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2011-04-10 |
| 1407081334 | Lindsey Slechta | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2009-05-21 |
| 1376785485 | Yesenia Ramos | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2009-04-03 |
| 1962418343 | Lakeside Pediatrics | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2006-07-31 |
| 1174539548 | Lakeside Pediatrics South | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104353937 | Marlee Chang | Nurse Practitioner | 5652 Grandview Blvd, Lakeland, FL 33810-3239 | 2017-05-11 |
| 1184040891 | Sandrell Williams | Nurse Practitioner | 5133 S Lakeland Dr, Lakeland, FL 33813-2622 | 2014-03-05 |
| 1548539356 | Melissa Gaa Rumph | Nurse Practitioner | 601 S Florida Ave Ste 6, Lakeland, FL 33801-5237 | 2011-12-22 |
| 1003049990 | Adelene Soto | Nurse Practitioner | 930 Marcum Rd, Lakeland, FL 33809-4308 | 2009-08-26 |
| 1326012527 | Jennifer Lynn Bath | Nurse Practitioner | 1920 Lakeland Hills Blvd, Lakeland, FL 33805-2902 | 2006-02-14 |
| 1083273692 | Alexandra Texeira | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-06-07 |
| 1104481241 | Todd Moccabee | Nurse Practitioner | 1920 Lakeland Hills Blvd, Lakeland, FL 33805-2902 | 2019-05-03 |
| 1093235087 | Marron Mclean | Nurse Practitioner | 601 S Florida Ave Ste 6, Lakeland, FL 33801-5237 | 2017-06-21 |
| 1902343312 | Lachiana Hamilton | Nurse Practitioner | 5133 S Lakeland Dr, Lakeland, FL 33813-2622 | 2017-01-23 |
| 1699220079 | Jill Crutcher | Nurse Practitioner | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2016-08-16 |
| Find all providers in LAKELAND | ||||
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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.