Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Shannon Paradise, ARNP

Individual provider Family Nurse Practitioner · NPI 1407116544

Kelly Shannon Paradise, ARNP is a Nurse Practitioner in Lake City, Florida. Qualified in 2011, 15 years ago. Practices with Solantic of Jacksonville LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2012
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

2806 W US Highway 90 Ste 102
Lake City, FL 32055-4745
Phone: (386) 438-8391
Fax: (386) 438-8629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9191569 (FL)

Record details

NPI number1407116544
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedMay 23, 2012
Last updated in NPPESJuly 10, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Solantic Of Jacksonville Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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