Individual provider Active NPI

Linda S Shenton, ACNP

  • Acute Care Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1134118136
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN1015 Issued in SC
Practice address
1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone
(803) 329-2636
Fax
(803) 329-2184
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN1015 SC Primary

Addresses

Primary practice location

1436 Riverchase Blvd
Rock Hill, SC 29732-1777

Mailing address

1436 Riverchase Blvd
Rock Hill, SC 29732-1777
Phone (803) 329-2636

Other identifiers 2

IdentifierTypeStateIssuer
NPO186MedicaidSC
P00126915OtherSCSCBCBS

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN1015SCMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1134118136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 RIVERCHASE BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321777",
            "telephone_number": "803-329-2636",
            "fax_number": "803-329-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 RIVERCHASE BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321777",
            "telephone_number": "803-329-2636",
            "fax_number": "803-329-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENTON",
        "first_name": "LINDA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "APN1015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPO186",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCBCBS",
            "identifier": "P00126915",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.