Active NPI
Shanice Nelson
- Health Educator
- Louisville, KY
National Provider Identifier
1104540962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 801 Barret Ave Ste 301
Louisville, KY 40204-1747 - Phone
- (502) 457-6153
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Meals Provider | 174200000X | |||
| Health Information Specialist/Technologist | 246Y00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
801 Barret Ave Ste 301
Louisville, KY 40204-1747
Mailing address
605 Scholar House CT Apt 301
Louisville, KY 40217-1879
Phone (502) 457-6153
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | support@myanchoredbeginnings.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1104540962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 SCHOLAR HOUSE CT APT 301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171879",
"telephone_number": "502-457-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BARRET AVE STE 301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041747",
"telephone_number": "502-457-6153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SHANICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "support@myanchoredbeginnings.com",
"affiliation": "N",
"address_1": "801 Barret Ave Ste 301",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402041747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.