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LATHA SHIVASHANKAR MD
NPI 1801845607
Pediatrics in Jacksonville, FL

Active since May 09, 2006
11512 LAKE MEAD AVE, SUITE 201, JACKSONVILLE, FL 32256(904) 998-1448(904) 998-1450 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latha Shivashankar Md NPPES

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

LATHA SHIVASHANKAR MD (NPI 1801845607) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME53102) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1801845607
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLATHA SHIVASHANKARCredential: MD
Location Address11512 LAKE MEAD AVE, SUITE 201Jacksonville, FL 32256-9680
Mailing Address11512 Lake Mead Ave, Suite 201Jacksonville, FL 32256 · (904) 998-1448 · Fax (904) 998-1450
Phone(904) 998-1448
Fax(904) 998-1450
Sole ProprietorYes
Enumeration DateMay 9, 2006
Last NPPES UpdateNovember 29, 2012
✔ NPI 1801845607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME53102
Definition

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.

11512 LAKE MEAD AVE, Jacksonville, FL 32256
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Other Identifiers 1

Medicaid058765600FL

Other Providers at the Same Location NPPES 20

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

MRS. ELIZABETH JANE O'GRADY MS CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
CARYN BETH KENNY LCSW
Social Worker (Clinical)
11512 LAKE MEAD AVE, 703
JACKSONVILLE, FL 32256
Duval County (904) 646-0051
JAMES E HARDY MD PLASTIC SURGERY LLC
Plastic Surgery
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Duval County (904) 996-0600
MELISSA AMERSON S.L.P.
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
LITTLE STAR CENTER, INC
Behavior Analyst
11512 LAKE MEAD AVE, SUITE 511
JACKSONVILLE, FL 32256
Duval County (904) 928-0112
LIVE WELL M.D.
Preferred Provider Organization
11512 LAKE MEAD AVE, BUILDING 521
JACKSONVILLE, FL 32256
Duval County (904) 807-9747
MRS. ALISSA KIEHLE JONES CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
MICHELLE KLINDTWORTH CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408

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 Latha Shivashankar's NPI number?

The NPI number for Latha Shivashankar is 1801845607. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Latha Shivashankar located?

Latha Shivashankar practices at 11512 Lake Mead Ave Suite 201, Jacksonville, FL 32256. The listed phone number is (904) 998-1448.

What is Latha Shivashankar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Latha Shivashankar was last updated on November 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.