SHENANDOAH MEDICAL CARE CENTER
NPI 1417494154
Clinic/Center - Primary Care in Lantana, FL
About Shenandoah Medical Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHENANDOAH MEDICAL CARE CENTER (NPI 1417494154) is a healthcare organization registered as a primary care in Lantana, Florida and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Joy L Fuller, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2121346
Shenandoah Medical Care Center LLC · Lantana, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shenandoah Medical Care Center's NPI number?
The NPI number for Shenandoah Medical Care Center is 1417494154. It was assigned to this organization in the NPPES registry on January 19, 2017.
Where is Shenandoah Medical Care Center located?
Shenandoah Medical Care Center is located at 6234 S Congress Ave Suite F-1, Lantana, FL 33462. The listed phone number is (561) 619-9510.
What is Shenandoah Medical Care Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Shenandoah Medical Care Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2121346) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shenandoah Medical Care Center was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Shenandoah Medical Care Center · NPI 1417494154
Primary Care organization in Lantana, Florida. Organization record, active in the CMS NPPES registry since January 19, 2017.
## Identity
- **NPI:** 1417494154 (Entity type: Organization)
- **Enumerated:** January 19, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Joy Fuller, OWNER
## Practice location
- **Address:** 6234 S CONGRESS AVE, SUITE F-1, Lantana, FL 33462-2307
- **Phone:** (561) 619-9510
## Record status
- **NPPES last updated:** January 19, 2017
- **Other identifiers:** Medicare UPIN CE016Z (FL); Medicaid 010866400 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417494154) · Data from the CMS NPPES public registry.