Shanita Beard

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

619 Trace Dr
Jackson, TN 38305-1584

Phone

(731) 803-8929

NPI assigned

Jan 7, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shanita'S Homecare Services

  • Home Health Agency
  • Jackson, TN
  • NPI 1285507285
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1033870449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 TRACE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 TRACE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051584",
            "telephone_number": "731-803-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "SHANITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jarrod Beachum, PA-C
• Michael Edwin Bearb, M.D.
• Beth Beard, PHARMD
• Corean Beard, PTA
• Jeremy O'Brien Beard
• Richard L Beardsley, DPH
• Kimberly M Beare, CRISIS CLINICIAN
• Andrea Beatty
• Linda Jones Beauregard
• Beautiful Beginnings, LLC

• In Home Supportive Care Agency in Jackson, TN
• Providers in Jackson, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.