Individual provider Active NPI

Shauntia Demps, CNA/HHA, CPT

  • Behavior Technician
  • Pinellas Park, FL
National Provider Identifier
1184398018
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5100 78TH Ave N
Pinellas Park, FL 33781-2407
Phone
(727) 289-9626
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5100 78TH Ave N
Pinellas Park, FL 33781-2407

Mailing address

1511 Murray Ave
Clearwater, FL 33755-2832
Phone (727) 656-3102

Other practice location 1

8254 118th Ave
Largo, FL 33773-5017
Phone (727) 541-5304

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

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1184398018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 MURRAY AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552832",
            "telephone_number": "727-656-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 78TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812407",
            "telephone_number": "727-289-9626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8254 118th Ave",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337735017",
            "country_code": "US",
            "telephone_number": "727-541-5304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMPS",
        "first_name": "SHAUNTIA",
        "credential": "CNA/HHA, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.