Shannon Brooke Sepulveda, LM, LPN is a
Midwife based in Winter Garden, Florida. Shannon Brooke Sepulveda is licensed to practice in Florida (license number MW371) and her current practice location is
710 Summer St, Winter Garden, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 946-4499.
NPI number for Shannon Brooke Sepulveda is 1578808176 and her current mailing address is 9204 Charles E Limpus Rd, Orlando, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578808176.
Provider's Profile
Full Name | Shannon Brooke Sepulveda |
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Gender | Female |
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Speciality | Midwife |
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Location | 710 Summer St, Winter Garden, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578808176
- Provider Enumeration Date: 12/07/2012
- Last Update Date: 10/24/2018
Medical Identifiers
Medical identifiers for Shannon Brooke Sepulveda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578808176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN5155859 (Florida) | Secondary |
174H00000X | Health Educator | (* (Not Available)) | Secondary |
374J00000X | Doula | (* (Not Available)) | Secondary |
176B00000X | Midwife | MW371 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Brooke Sepulveda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Brooke Sepulveda, LM, LPN 9204 Charles E Limpus Rd, Orlando, FL 32836-5806 Ph: (321) 946-4499 | Shannon Brooke Sepulveda, LM, LPN 710 Summer St, Winter Garden, FL 34787-4021 Ph: (321) 946-4499 |
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