Shanna Nuckles

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4702 W Commercial Dr
North Little Rock, AR 72116-7068

Phone

(501) 812-5545

Fax

(501) 812-5546

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

No

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, last updated by the provider on Aug 19, 2010.

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1124334834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 W COMMERCIAL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167068",
            "telephone_number": "501-812-5545",
            "fax_number": "501-812-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 W COMMERCIAL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167068",
            "telephone_number": "501-812-5545",
            "fax_number": "501-812-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCKLES",
        "first_name": "SHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Norton, PHARMD
• Samuel W. Norwood II, M.D.
• Amanda J Novack, MD
• James Bill Nowlin, MD
• NSRC Oak Grove LLC
• Carly Nufer, FNP
• Nurture & Connect Counseling PLLC
• Jessica O'Brien, OTD
• Kyler E O'Brien
• Steffen Lucas O'Brien, PT, DPT

• All providers in North Little Rock, AR
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.