Nicole Shemwell, CERT HAIR LOSS SPECI

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

1021 Oak St Ste 129
Jacksonville, FL 32204-3905

Phone

(904) 670-0906

NPI assigned

Dec 27, 2022

Last updated

Apr 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Hair Care & Wellness Spa, LLC

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1952153249

  Prosthetics Case Management

  NPD Authorized official

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1164135810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY STE 104-9023",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 OAK ST STE 129",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043905",
            "telephone_number": "904-670-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMWELL",
        "first_name": "NICOLE",
        "credential": "CERT HAIR LOSS SPECI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Shelton, ARNP
• Talia Shelton
• Mylyn Shelvy, PTA
• Shemaka James
• Byron Shemwell
• Jeffrey Z Shen, MD
• Qiheng Shen, MD
• Xian Shen, MD
• Samira Shenasi, DDS
• Akintola M Shenbanjo II, CNA / ALF ADMIN.

• Customized Equipment (DME) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.