Shativius C Webster, CNA

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

CNA399484 Issued in FL

Practice address

1103 N 13TH St Apt a
Fort Pierce, FL 34950-3218

Phone

(772) 243-1149

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1144946492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 ORANGE AVE UNIT 1523",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349543365",
            "telephone_number": "772-243-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N 13TH ST APT A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349503218",
            "telephone_number": "772-243-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "SHATIVIUS",
        "middle_name": "C",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "CNA399484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ann Watkins
• Lisa Brook Watts, MSW
• Jennifer A Way
• Cheryl Elaine Wayne, MD
• Amanda R Weatherman, MSW, LCSW
• Zamarys Webster, LCSW
• Nathan Weddell
• Iona Elizabeth Wedderburn, NP
• Victoria Anne Weideman, PHARM.D.
• April Weigand

• Home Health Registered Nurse in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.