Chesney V Shortnacy

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6836 Isaac'S Orchard Rd
Springdale, AR 72762

Phone

(479) 927-4100

Fax

(479) 927-4101

NPI assigned

Oct 15, 2021

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Arkansas Support Network, Inc

  • Case Management Agency
  • Springdale, AR
  • NPI 1720601412
  NPD
• Arkansas Support Network

  • Developmentally Disabled Services Day Training Agency
  • Springdale, AR
  • NPI 1508190273
  NPD (past)

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1154084200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 ISAAC'S ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762",
            "telephone_number": "479-927-4100",
            "fax_number": "479-927-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 ISAAC'S ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762",
            "telephone_number": "479-927-4100",
            "fax_number": "479-927-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTNACY",
        "first_name": "CHESNEY",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "273168795",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273243706",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiloh Nursing and Rehab, LLC
• Stephanie Shipley
• Lela R Shipman, MNSC, RN, APN, FNP
• Jana Dean Shoemaker, MS, RD, LD
• James Alden Shook Jr., PHARMD
• Madison Shrum, LMSW
• Vicki L Shuburte, PHARM D
• Katie Ann Shuler
• Kimberly Marie Shuler, LCSW
• Sabina M Siddiqui, MD

• Behavior Technician in Springdale, AR
• Providers in Springdale, AR by specialty
• Behavior Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.