Shineforth Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHINEFORTH HEALTH SERVICES LLC

Practice address

3611 Branch Ave Ste 404
Temple Hills, MD 20748-1251

Phone

(301) 633-2515

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Uche H Fabiku, DNP, PMHNP, FNP

Title

Ceo

Phone

(301) 633-2515

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1104533371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE STE 404",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481251",
            "telephone_number": "301-633-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE STE 404",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481251",
            "telephone_number": "301-633-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINEFORTH HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "FABIKU",
        "authorized_official_first_name": "UCHE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-633-2515",
        "authorized_official_credential": "DNP, PMHNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Sessoms
• Eunice Shakir, M.D.
• Romtin Sharolli
• Anthony Shepherd II
• Anthony D Shepherd, MD
• Amjad Shkera, RPH
• Jasmine Simmons, LMT
• Clair Smith-Parker
• Andrianna Deenay Smith
• Jamal Colin Smith

• Psychiatric/Mental Health Nurse Practitioner in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.