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

Shannon Miller Moulton, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1265296925

Shannon Miller Moulton, APRN is a Nurse Practitioner in Tampa, Florida. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Phone: (813) 929-5451
Fax: (813) 929-5465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17809 Green Willow Dr, Tampa, FL 33647-2242 — (813) 446-5780

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN11031067 (FL)

Record details

NPI number1265296925
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 12, 2024
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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