Shakera Canty, LPN
Individual provider Active NPI Licensed Practical Nurse · Laurens, SC
NPI 1003663154 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1003663154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 49592 (SC)
- Practice address
- 218 Spring St Apt 115
Laurens, SC 29360-1868 - Phone
- (864) 399-4415
- NPI assigned
- May 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49592 | SC | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 49592 | SC | Yes |
Addresses
Primary practice location
218 Spring St Apt 115
Laurens, SC 29360-1868
Mailing address
218 Spring St Apt 115
Laurens, SC 29360-1868
Phone (864) 399-4415
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-2180901 | Other | SC | GOVERMENT |
Other providers in Laurens, SC
- David Claude Burroughs
- C Joanne Brownlee MD LLC
- Christopher Camantigue
- Sherri Lynn Camp
- Krishana Leigh-Anne Campbell
- Jimmie Lee Carroll
- Rachael Carroll
- Catherine Casey
- Kelley Randall Castaneda
- Cecil Y Brown M.D., P.a.
All providers in Laurens, SC · Licensed Practical Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.