Active NPI
Shaunte Brewer
- Social Worker
- Dayton, OH
National Provider Identifier
1164970323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1201008
- Practice address
- 513 Burgess Ave
Dayton, OH 45415-2636 - Phone
- (937) 422-7325
- NPI assigned
- Sep 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1201008 | OH | Primary |
Addresses
Primary practice location
513 Burgess Ave
Dayton, OH 45415-2636
Mailing address
513 Burgess Ave
Dayton, OH 45415-2636
Phone (937) 422-7325
Other names 1
- Shaunte Taylor
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201008 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1164970323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 BURGESS AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454152636",
"telephone_number": "937-422-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 BURGESS AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454152636",
"telephone_number": "937-422-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "SHAUNTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-16",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "1201008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAUNTE",
"last_name": "TAYLOR",
"credential": "LSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.