NPPES file of Aug 9, 2026

Shadetree Dermatology LLC in Cocoa Beach, FL

This organization bills under NPI 1366297376, an organization record issued on Apr 22, 2024 with the primary taxonomy Dermatology Physician. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1366297376
Legal name
Shadetree Dermatology LLC
Entity
Type 2 · organization
Primary taxonomy
Dermatology Physician 207N00000X
Practice location
105 S BANANA RIVER BLVD FL 2, Cocoa Beach, FL 32931
Phone
321-200-0346
Enumerated
Apr 22, 2024
Record updated
Mar 4, 2026
Authorized official
Dermatologist (Physician) (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

6 clinicians CMS lists with Shadetree Dermatology in Cocoa Beach

  1. Elysia Dana, APRNFamily Nurse Practitioner1225673809
  2. Bonnie Fox, PAPhysician Assistant1740590454
  3. Vanessa Johnson, MDDermatology Physician1972948875
  4. Jennifer NorthFamily Nurse Practitioner1205103884
  5. Nichole Palomba, PA-CPhysician Assistant1124494661
  6. Shivani Patel, PA-CPhysician Assistant1215379904

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the Florida secretary of state (Sunbiz).
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.