Carla Ann Shade

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

462 Bartley Ave
Mansfield, OH 44903

Phone

(419) 747-4702

NPI assigned

Apr 20, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053539726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MYERS AVE",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751414",
            "telephone_number": "419-564-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 BARTLEY AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-747-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADE",
        "first_name": "CARLA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IP NO",
            "identifier": "2513748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin J Seveigny, MSW LSW
• Kandi Sue Sevits
• Beth Seymour
• Carol Sgambellone, LISW-S
• Mia Sgambellone
• Sherry Shafer
• BRNT Shaffer, PCC
• Hirsh Ajay Shah, MD
• Ahmed F Shahata, MD
• Nishad Mohamed Shaheid, M.D.

• Home Health Aide in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.