Tyrone Shields

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

15130 Bauman Ave
Omaha, NE 68116-4475

Phone

(402) 707-0909

NPI assigned

Jan 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• SD Home Care LLC

  • Home Health Agency
  • Omaha, NE
  • NPI 1235911314

  Home Health Aide

  NPD Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1114688686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15130 BAUMAN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681164475",
            "telephone_number": "402-707-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15130 BAUMAN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681164475",
            "telephone_number": "402-707-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "TYRONE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sdhomecareservices.com",
            "affiliation": "N",
            "endpointDescription": "Website that is SSL secure, and has enhanced secure email settings.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mobile",
            "address_1": "15130 Bauman Ave",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681164475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Raye Shields, RN
• Mikisha Shields
• Stephanie Diana Shields
• Susan M Shields, LIMHP, LMHC/LCPC
• Tanner Mitchell Shields, DO
• Abby Shiffermiller, M.D.
• Jason F Shiffermiller, MD
• Shift Wellness LLC
• Lance A Shillcutt, PT
• Sasha Shillcutt, MD

• Home Health Aide in Omaha, NE
• Providers in Omaha, NE by specialty
• Home Health Aide in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.