Shamonique Favor, CNA

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9986560 Issued in SC

Practice address

206 Gingeroot Way
Columbia, SC 29203-6783

Phone

(803) 238-1640

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1043984065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GINGEROOT WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036783",
            "telephone_number": "803-238-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GINGEROOT WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036783",
            "telephone_number": "803-238-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVOR",
        "first_name": "SHAMONIQUE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "53966",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "9986560",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "9986560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca C. Faulk, OTR/L
• Shannon Barnes Faulkenberry, PHARMD
• Roy Lee Faulks III, DMD, MSD
• Sarah Faulks
• Vincent Faulks, RBT
• Wajiha Fayyaz
• FC Midlands Kathwood, LLC
• Kelsey Fearing
• Daniyele Larri Feaster, APRN
• Glen Alexander Feder, DO

• Home Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.