Shandel Nelson, CALLAWAY(MAIDEN)

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

8277 Sailmaker LN
Jacksonville, FL 32210-3456

Phone

(585) 635-4554

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Prof. Shandel Callaway -Nelson Other name

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1053148676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 CONFEDERATE POINT RD APT 8C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322105720",
            "telephone_number": "585-635-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8277 SAILMAKER LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103456",
            "telephone_number": "585-635-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SHANDEL",
        "name_prefix": "Ms.",
        "credential": "CALLAWAY(MAIDEN)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "107772",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANDEL",
            "last_name": "CALLAWAY -NELSON",
            "prefix": "PROF.",
            "credential": "CALLAWAY(MAIDEN)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michole Kiana Nelson
• Nakita Nelson
• Remy Nelson, LMHC
• Samantha Nelson
• Samantha Nelson
• Shawn Patrick Nelson, PHARM. D
• Valarie Nelson, MA
• Wendell Nelson
• Winifred Nelson, FNP-C
• Justin Nemelka

• Nurse's Aide in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.