MEDICARE: SHEA KRISTEN IRVINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	240614	FL

General Provider Information

NPI Number	:	1255203972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEA KRISTEN IRVINE

Provider Business Mailing Address
First Line	:	13106 AGAVE ST
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-3032
Country	:	US
Telephone Number	:	334-651-8289
Fax Number	:

Provider Business Practice Location Address
First Line	:	13106 AGAVE ST
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-3032
Country	:	US
Telephone Number	:	334-651-8289
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

Similar Medicare Providers

1902025711 — THERAPEUTIC BODYWORK & MASSAGE, INC
Practice Location Address:

303 E 7TH ST
PANAMA CITY, FL
32401-3032

Practice Phone: 850-747-1277
Practice Fax: 850-784-4441

1538109012 — MRS. ROBIN J MOSER PA-C
Practice Location Address:

510 N PROSPECT AVE
REDONDO BEACH, CA
90277-3032

Practice Phone: 310-372-8005
Practice Fax:

1306873567 — DR. MARY CIGLIANO DO
Practice Location Address:

116 WASHINGTON BLVD
LONG BEACH, NY
11561-3032

Practice Phone: 516-208-9917
Practice Fax: 516-208-9917

1184775363 — DR. CHANDER GUPTA DDS
Practice Location Address:

129 E DANIA BEACH BLVD
DANIA BEACH, FL
33004-3032

Practice Phone: 954-922-4633
Practice Fax: 954-921-5999

1912118118 — DR. BAS MICHAEL ANTIC GROEN D.D.S.
Practice Location Address:

100 S MILITARY TRL , SUITE 4
DEERFIELD BEACH, FL
33442-3032

Practice Phone: 954-725-3717
Practice Fax:

1003014523 — ANTONIA LEIGH COTWRIGHT D.O.
Practice Location Address:

510 N PROSPECT AVE STE 320
REDONDO BEACH, CA
90277-3032

Practice Phone: 310-376-2716
Practice Fax: 310-374-9163

Directions to “ SHEA KRISTEN IRVINE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.