1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Nurses Aide
  6. NPI Profile

SHANNON ETHRIDGE
NPI 1205433943
Nurse's Aide in Jacksonville, FL

Active since October 06, 2020
3006 RIBAULT SCENIC DR, JACKSONVILLE, FL 32208(904) 554-1696 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2023, Oct 6, 2020 (2 updates tracked since 2020).

About Shannon Ethridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON ETHRIDGE (NPI 1205433943) is an individual nurse's aide in Jacksonville, Florida, licensed in Florida (163236) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1205433943
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameSHANNON ETHRIDGE
Location Address3006 RIBAULT SCENIC DRJacksonville, FL 32208-2477
Mailing Address3006 Ribault Scenic DrJacksonville, FL 32208-2477 · (904) 554-1696
Phone(904) 554-1696
Sole ProprietorNo
Enumeration DateOctober 6, 2020
Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1205433943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in FL · 163236
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
3006 RIBAULT SCENIC DR, Jacksonville, FL 32208
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROMISING LOVE PERSONAL & HOME CARE SERVICES L.L.C
Home Health
3006 RIBAULT SCENIC DR
JACKSONVILLE, FL 32208
Duval County (904) 554-1696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Ethridge's NPI number?

The NPI number for Shannon Ethridge is 1205433943. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Shannon Ethridge located?

Shannon Ethridge practices at 3006 Ribault Scenic Dr, Jacksonville, FL 32208. The listed phone number is (904) 554-1696.

What is Shannon Ethridge's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Shannon Ethridge was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.