Shanta Harrell

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

FCL-046-025 Issued in NC

Practice address

106 Holloman Avenue
Ahoskie, NC 27910

Phone

(252) 642-3606

Fax

(252) 513-8230

NPI assigned

Dec 30, 2015

Sex

Female

Sole proprietor

No

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

State licenses

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.

• You'Re in Our Care

  • Adult Day Care Clinic/Center
  • Ahoskie, NC
  • NPI 1184176042
  NPD (past) Authorized official
• Youre in Our Care

  • Home Health Agency
  • Ahoskie, NC
  • NPI 1134462583
  NPD (past) Authorized official

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1124483532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 NORTH CATHERINE STREET",
            "address_2": "106 HOLLOMAN AVENUE",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "27910",
            "telephone_number": "252-642-3606",
            "fax_number": "252-513-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HOLLOMAN AVENUE",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "27910",
            "telephone_number": "252-642-3606",
            "fax_number": "252-513-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "SHANTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NC",
            "license": "FCL-046-025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Carlson Haddock, P.T.
• Miranda Neal Haislip
• Carolyn Cassandra Hall, ASSOCIATE DEGREE B.A
• Terry Cornelius Hall, D.M.D.
• Jolynn Harrell, CDE
• Sue Ann Harrison, COTA/L
• Kelby Lewis Harrup, PA-C
• Brooke Amber Hasenfelt
• Brad E Hauser, O.D.
• Deja Jahmi Hawkins

• Adult Companion in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Adult Companion in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.