Shada A Daniels

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

9228 Thunderbolt Dr
Jacksonville, FL 32221-8052

Phone

(904) 365-0105

NPI assigned

Aug 10, 2019

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bell Support Services

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1306581913
  NPD Authorized official

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565395200000",
    "number": "1093361685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 THUNDERBOLT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218052",
            "telephone_number": "904-365-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 THUNDERBOLT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218052",
            "telephone_number": "904-365-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9228 Thunderbolt Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322218052",
            "country_code": "US",
            "telephone_number": "904-365-0105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "SHADA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-10",
        "last_updated": "2019-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Daniels, MASSAGE THERAPIST
• Michelle Daniels, ARNP
• Naw-Am Acio Daniels
• Necole D Daniels
• Patience Anabel Daniels
• Stephanie Daniels, DNP CRNA
• Tameeka Diane Daniels
• Meghan Danielson
• Gabriella Danihel
• Rachel Danos, BSW

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.