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NPISignal

Individual Healthcare Provider

Shea Kathleen O'brien, MD

NPI Record: ActiveObstetrics & Gynecology
NPI1275054231
Ponte Vedra, Florida

Provider's NPPES record last updated: May 21, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1275054231
Primary Specialty
Obstetrics & Gynecology
Practice Location
Ponte Vedra, Florida
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 5:18 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Obstetrics & Gynecology

    Allopathic & Osteopathic Physicians

    Primary

    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

    Taxonomy code 207V00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Obstetrics & Gynecology (Florida)
ME151059
Student in an Organized Health Care Education/Training Program (Florida)
TRN25522
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

400 Colonnade Dr Ste 230

Ponte Vedra, Florida 32081-6237

Phone: (904) 640-8249

Additional Practice Location

89 W Copeland Dr

Orlando, Florida 32806-2002

Phone: (407) 841-5281

Additional Practice Location

14546 Old Saint Augustine Rd Ste 305-311

Jacksonville, Florida 32258-5468

Phone: (904) 260-2255

Record Information

Enumeration Date
June 29, 2017
Provider's NPPES Record Last Updated
May 21, 2026
Certification Date
May 21, 2026
NPISignal NPPES Dataset
August 2026

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