Shontobia Carney, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3017328 Issued in KY

Practice address

10301 Thrift Dr Apt 110
Louisville, KY 40223-0097

Phone

(502) 494-4497

NPI assigned

Mar 16, 2022

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1053069310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43155",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 THRIFT DR APT 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402230097",
            "telephone_number": "502-494-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "SHONTOBIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B. Paul Carney, PH.D.
• Jenna Michele Carney, RBT
• Lavetta L Carney
• Lindsay Carney, LCSW
• Patricia Lynne Carney, RD,LD, CDE
• Whitney-Lea Nicole Carney, APRN
• Mollie Jo Carnforth, CCC-SLP
• Lindsey Helen Carnicella, PHARMD
• Katie N Carniello, OTR/L
• Carol Lozier LCSW PLLC

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.