Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053638551 Individual Practitioner Female Practitioner

Dr. Shannon Denise Shea , MD

Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Shannon Shea, MD is a registered healthcare professional specializing in Pediatrics in Jacksonville, FL. Practice services are available at 3900 UNIVERSITY BLVD S STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3900 University Blvd S Ste 2

Jacksonville, FL 322164331

Telephone 9047604940
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
221 Specialists

Practicing in Jacksonville, FL (4160 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME130808

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

5460 Blanding Blvd

Jacksonville, FL 322441957

Phone: 9047604904

1880 Edgewood Ave W

Jacksonville, FL 322083021

Phone: 9047604904

6024 Merrill Rd

Jacksonville, FL 322773427

Phone: 9047604904

1680 Dunn Ave Ste 35

Jacksonville, FL 322184744

Phone: 9047604904

120 King St

Jacksonville, FL 322042410

Phone: 9047604904

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Chandroutie Santoo-Vazquez , ARNP-BC

Nurse Practitioner - Family

NPI 1740389683

ARNPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location September 22, 2020

Registered at 3900 UNIVERSITY BLVD S STE 2, JACKSONVILLE, FL 322164331 (Tel: 9047604940)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2020

Pediatrics (License #ME130808 in FL)

NPI Profile Active January 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2017

Registered at 6138 KENNERLY RD, JACKSONVILLE, FL 322164393 (Tel: 9047604940)

📍
Updated Business Mailing Address January 30, 2017

Registered at 120 KING ST, JACKSONVILLE, FL 322042410 (Tel: 9047604940)

👤
Provider Name / Credentials Updated January 30, 2017

Recorded as SHANNON SHEA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2017

Pediatrics (License #A 112087 in CA)

NPI Profile Active April 23, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2010

Registered at UC SAN FRANCISCO M691, 505 PARNASSUS, SAN FRANCISCO, CA 941430001 (Tel: 4154766245)

📍
Updated Business Mailing Address April 23, 2010

Registered at UC SAN FRANCISCO M691, 505 PARNASSUS, SAN FRANCISCO, CA 941430001 (Tel: 4154766245)

👤
Provider Name / Credentials Updated April 23, 2010

Recorded as SHANNON SHEA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2010

Pediatrics (License #A 112087 in CA)

🟢
Initial NPI Registration & Enumeration April 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053638551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2010
Last Update: January 25, 2021
Sole Proprietor: Yes

Mailing Address

120 King St

Jacksonville, FL 322042410

Phone: 9047604940

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.