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Shadetree Dermatology LLC

Dermatology Physician in Cocoa Beach, FL · enumerated 2024 · authorized official Vanessa Johnson, Dermatologist (Physician).

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366297376

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Registry record

Entity type Organization (Type 2)
Legal business name Shadetree Dermatology LLC
Practice address 105 S Banana River Blvd Fl 2, Cocoa Beach, FL, 32931
Phone (321) 200-0346
Enumeration date Apr 22, 2024
Last updated in NPPES Mar 4, 2026

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Vanessa Johnson
Title Dermatologist (Physician)
Phone (321) 200-0346

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Shadetree Dermatology LLC?
Shadetree Dermatology LLC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-04.