Active NPI
Amber Theresa Shine
- Attendant Care Provider
- Carlsbad, CA
National Provider Identifier
1043861016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 3822 Garfield St
Carlsbad, CA 92008-4031 - Phone
- (760) 842-4215
- NPI assigned
- Sep 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
3822 Garfield St
Carlsbad, CA 92008-4031
Mailing address
241 Festival Dr
Oceanside, CA 92057-5135
Phone (760) 216-2321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B5302709 | Other | CA | DRIVER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569024000000",
"number": "1043861016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 FESTIVAL DR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920575135",
"telephone_number": "760-216-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3822 GARFIELD ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920084031",
"telephone_number": "760-842-4215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINE",
"first_name": "AMBER",
"middle_name": "THERESA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-21",
"last_updated": "2019-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "B5302709",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.