I Shine, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

I SHINE, LLC

Practice address

103 Springdale St
Duncan, SC 29334-9638

Phone

(864) 346-2370

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Tara Traynham Barton

Title

Member

Phone

(864) 346-2370

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1144886367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SPRINGDALE ST",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349638",
            "telephone_number": "864-346-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SPRINGDALE ST",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293349638",
            "telephone_number": "864-346-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I SHINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "TRAYNHAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-346-2370"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.